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Virginia rates for HCPCS 54408

Rpr Component Inflatable Penile Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.81 / $5,087.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.06 / $904.87 / $1,116.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,076.73 / $1,465.20
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.54 / $1,060.10 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00