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Arkansas 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
$1,136.95 / $1,688.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.84 / $1,183.45 / $1,272.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,232.96 / $12,232.96 / $14,679.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.86 / $1,200.26 / $1,200.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.44 / $1,516.48 / $1,687.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $811.00 / $2,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.74 / $965.00 / $1,730.68