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Virginia 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
$922.51 / $4,796.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,814.00 / $13,820.00 / $14,999.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.79 / $922.55 / $1,137.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.17 / $1,126.35 / $1,679.52
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$221.22 / $286.52 / $393.12
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$154.85 / $200.56 / $275.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.79 / $1,091.32 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,150.00 / $26,218.00 / $64,572.00