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North Carolina 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
$518.47 / $7,439.00 / $7,724.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.47 / $712.92 / $1,324.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.12 / $9,388.90 / $26,542.00