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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
$1,000.00 / $2,884.03 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $6,918.31 / $7,413.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $891.25 / $2,344.23
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
$1,698.24 / $4,365.16 / $9,332.54