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California 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
$2,197.85 / $7,945.00 / $19,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.23 / $1,055.51 / $4,733.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.00 / $10,099.00 / $23,679.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.19 / $1,339.76 / $2,627.30
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $5,620.13
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.40 / $881.09 / $2,165.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.19 / $1,174.02 / $3,570.61
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.97 / $1,006.86 / $1,208.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.82 / $1,157.89 / $2,078.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,314.56 / $54,004.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,662.00 / $6,696.32 / $7,483.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.76 / $1,197.20 / $1,610.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.88 / $1,176.05 / $2,552.07
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,937.25 / $2,937.25 / $2,937.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.97 / $1,040.95 / $1,312.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $2,753.00 / $11,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.89 / $1,038.40 / $2,859.80