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Missouri rates for HCPCS 54410

Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $4,610.00 / $12,154.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$437.32 / $437.32 / $528.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $21,783.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,436.00 / $7,469.00 / $11,141.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.36 / $1,819.23 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,777.91 / $72,931.03 / $72,931.03
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$222.24 / $9,116.37 / $9,116.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,966.00 / $5,163.00 / $32,031.00