go back

Minnesota 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
$478.63 / $478.63 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $9,332.54 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $4,570.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,862.09 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,071.52 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,456.54 / $10,715.19