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Washington 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
$1,332.22 / $5,128.00 / $18,800.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,079.47 / $9,879.37 / $25,560.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.44 / $2,353.44 / $3,920.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.16 / $1,644.51 / $9,036.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.01 / $1,413.70 / $1,471.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.87 / $999.92 / $1,470.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,208.83 / $9,873.73 / $18,898.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,297.00 / $12,835.00