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Pennsylvania rates for HCPCS 54411

Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $6,165.95 / $9,549.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $40,738.03 / $40,738.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,248.07 / $9,549.93
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $2,041.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,000.00 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,621.81 / $64,565.42