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Louisiana 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
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$584.77 / $584.77 / $614.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,163.79 / $22,915.43 / $41,441.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $11,159.00 / $24,651.00