go back

New York 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
$709.87 / $4,452.00 / $10,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.10 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.74 / $605.74 / $5,246.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $847.00 / $1,372.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $605.74 / $5,246.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.37 / $712.37 / $1,748.65