go back

Oklahoma 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
$1,000.00 / $3,467.37 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $9,549.93 / $15,488.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,691.53 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,317.64