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California rates for HCPCS 54415

Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,585.78 / $18,197.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,471.29 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,890.45 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,454.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $45,708.82 / $45,708.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $10,000.00 / $20,892.96