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Ohio rates for HCPCS 54405

Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.11 / $4,091.00 / $10,635.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $9,066.00 / $60,320.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.85 / $917.82 / $1,136.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $4,838.00 / $5,263.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,895.00 / $12,769.00 / $21,102.00