go back

West Virginia 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
$798.52 / $798.52 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.48 / $932.14 / $1,015.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.64 / $899.64 / $899.64