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Washington 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
$1,307.46 / $5,116.62 / $18,800.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,542.00 / $57,131.89 / $109,349.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,875.66 / $23,875.66 / $39,776.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.79 / $1,619.81 / $42,431.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.00 / $1,374.17 / $1,441.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.30 / $983.46 / $15,992.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,068.65 / $57,131.89 / $109,349.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,960.00 / $11,798.00 / $43,830.00