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Kansas 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
$2,070.00 / $4,919.00 / $12,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,573.00 / $6,573.00 / $6,573.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.66 / $998.57 / $9,451.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00