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California rates for HCPCS 54416

Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $6,695.00 / $17,902.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.00 / $10,099.00 / $23,679.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $12,334.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,214.70 / $25,071.92 / $50,000.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.66 / $817.16 / $1,103.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.30 / $939.73 / $1,677.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,650.64 / $26,542.00 / $95,250.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.00 / $937.40 / $1,319.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,623.00 / $20,877.00 / $52,425.00