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Iowa 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
$870.96 / $3,981.07 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $933.25 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,162.28 / $9,549.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,230.27 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $7,762.47 / $10,715.19