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Texas rates for HCPCS 54416

Rmvl & Rplcmt Non-Nfltbl/Nfltbl Penile Prosthesi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.00 / $3,213.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,883.43 / $26,360.94 / $52,546.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.54 / $642.54 / $642.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,105.56 / $24,105.56 / $24,105.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $95,250.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.97 / $892.37 / $1,572.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.97 / $907.43 / $1,816.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,552.00 / $10,235.00 / $36,801.00