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North Dakota 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
$532.13 / $532.13 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.13 / $704.56 / $1,596.39