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New York rates for HCPCS 54406

Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.00 / $4,442.00 / $10,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.66 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.10 / $832.10 / $5,246.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,156.00 / $1,878.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $832.10 / $5,246.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.30 / $975.30 / $2,420.46