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Tennessee 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
$1,016.77 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,465.00 / $9,265.00 / $16,534.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,980.08 / $26,542.00 / $97,992.80
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$207.72 / $9,288.33 / $9,288.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,029.00 / $12,981.00 / $27,144.00