go back

Texas rates for HCPCS 54415

Rmvl Non-Nfltbl/Nfltbl Penile Prosth W/O Rplcmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.00 / $3,213.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,642.82 / $4,719.33 / $9,025.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.08 / $480.08 / $480.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.10 / $2,376.10 / $2,376.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.41 / $676.55 / $1,168.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.41 / $682.02 / $1,349.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00