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Ohio 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
$1,206.76 / $5,355.00 / $10,817.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,437.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.93 / $898.72 / $1,112.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,757.73 / $5,726.00 / $9,483.00