go back

New Jersey 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
$661.28 / $6,064.00 / $10,871.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,766.81 / $6,766.81 / $8,385.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00