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Texas rates for HCPCS 54408

Rpr Component Inflatable Penile Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.00 / $3,213.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,520.73 / $6,432.06 / $12,652.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.41 / $6,849.60 / $6,849.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.61 / $3,619.61 / $3,619.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.09 / $1,000.84 / $1,747.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.09 / $1,002.18 / $2,003.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00