go back

Texas 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
$870.96 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,897.79 / $9,332.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $45,708.82 / $45,708.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $912.01 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $691.83 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78