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New Hampshire 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
$100.00 / $3,491.19 / $9,859.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$696.43 / $1,745.60 / $1,745.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,334.70 / $15,674.40 / $29,801.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,629.00 / $12,629.00 / $12,629.00