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Maryland rates for HCPCS 54415

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.04 / $712.13 / $1,171.02