go back

Indiana rates for HCPCS 54408

Repair of component(s) of a multi-component, inflatable penile prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.34 / $2,318.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,200.00 / $15,727.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.03 / $797.70 / $902.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,379.37 / $3,379.37 / $3,379.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00