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West Virginia 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
$534.27 / $534.27 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.41 / $624.86 / $680.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.74 / $605.74 / $605.74