go back

Rhode Island rates for HCPCS 54405

Insj Multi-Component Inflatable Penile Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,685.00 / $8,200.00 / $42,225.99