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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
$481.81 / $481.81 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,511.39 / $8,041.59 / $16,510.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.56 / $1,835.85 / $4,416.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.38 / $1,678.40 / $3,477.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.06 / $1,076.84 / $8,934.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00