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Alaska rates for HCPCS 54417

Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,665.64 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,733.84 / $5,025.93 / $5,846.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,097.21 / $3,097.21 / $3,097.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.51 / $5,025.93 / $7,187.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.83 / $5,676.30 / $7,407.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,378.75 / $3,919.35 / $5,733.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.51 / $5,025.93 / $7,187.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.58 / $3,894.00 / $5,791.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.58 / $3,737.96 / $8,062.27