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Illinois rates for HCPCS 54406

Rmvl Inflatable Penile Prosth W/O Rplcmt Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.03 / $2,157.00 / $6,180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,134.57 / $8,288.20 / $19,280.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $6,951.00 / $7,469.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.26 / $1,236.03 / $3,164.75
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $5,000.00 / $8,995.00