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North Dakota 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
$794.00 / $794.00 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.00 / $1,053.47 / $2,382.00