go back

Arizona rates for HCPCS 54410

Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,477.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,238.80 / $31,238.80 / $31,238.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.14 / $1,195.42 / $21,272.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,777.91 / $72,931.03 / $72,931.03
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$222.24 / $9,116.37 / $9,116.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,990.00 / $13,962.00 / $24,205.00