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Pennsylvania rates for HCPCS 54410

Rmvl & Rplcmt Inflatable Penile Prosth Same Sess

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.20 / $3,744.00 / $8,017.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$377.99 / $377.99 / $395.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,142.16 / $64,063.27 / $90,222.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$377.99 / $377.99 / $377.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.10 / $838.10 / $849.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,742.00 / $6,911.00 / $12,841.00