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Minnesota rates for HCPCS 54406

Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.32 / $659.32 / $4,967.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,511.39 / $8,041.59 / $16,510.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.39 / $2,503.54 / $6,022.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.13 / $2,288.83 / $4,742.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.50 / $1,469.31 / $8,934.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00