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Tennessee 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
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$420.11 / $624.04 / $1,200.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,465.00 / $9,265.00 / $16,534.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.12 / $26,542.00 / $96,178.75
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,777.91 / $72,931.03 / $72,931.03
Lucent Health
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
$5,029.00 / $12,981.00 / $27,144.00