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Wisconsin rates for HCPCS 54406

Rmvl Inflatable Penile Prosth W/O Rplcmt Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.62 / $1,503.65 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $8,139.00 / $11,136.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.75 / $2,207.15 / $3,560.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.62 / $1,046.10 / $2,152.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.62 / $2,152.19 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.62 / $1,046.10 / $2,152.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.95 / $2,211.15 / $2,604.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00