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Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.16 / $1,028.90 / $1,200.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,960.00 / $3,960.00 / $3,960.00