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Oklahoma 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
$1,048.00 / $3,821.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,543.64 / $41,378.87 / $64,521.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.65 / $1,534.83 / $24,973.38
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9,288.33 / $9,288.33 / $9,288.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,412.00 / $14,790.00 / $31,828.64