go back

Pennsylvania rates for HCPCS 54416

Rmvl & Rplcmt Non-Nfltbl/Nfltbl Penile Prosthesi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $3,627.00 / $8,017.00
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
$54,666.47 / $54,666.47 / $54,666.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.09 / $695.43 / $695.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,742.00 / $6,911.00 / $12,841.00