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Illinois 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
$755.00 / $2,232.00 / $6,180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,655.13 / $6,420.92 / $14,004.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $6,951.00 / $7,469.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.46 / $899.10 / $2,304.88
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $5,000.00 / $8,995.00