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West Virginia 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
$1,039.42 / $1,039.42 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.92 / $1,211.32 / $1,319.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.83 / $1,168.83 / $1,168.83