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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.90 / $936.37 / $4,733.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.96 / $835.95 / $1,044.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.04 / $1,089.41 / $1,971.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.02 / $1,169.24 / $2,594.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.12 / $1,031.03 / $6,696.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.00 / $1,711.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.76 / $984.96 / $1,741.04