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Massachusetts 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
$1,758.00 / $2,671.00 / $4,712.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$433.67 / $433.67 / $433.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.00 / $7,292.00 / $33,352.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,777.91 / $1,777.91 / $72,931.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$222.24 / $222.24 / $9,116.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.25 / $1,823.54 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,189.93 / $17,189.93 / $17,189.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.00 / $7,950.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,777.91 / $1,777.91 / $72,931.03
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$222.24 / $222.24 / $9,116.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.00 / $7,157.00 / $14,101.00