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Connecticut 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
$3,522.00 / $7,629.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.08 / $1,385.20 / $2,221.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.58 / $1,877.74 / $2,257.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.19 / $1,404.52 / $2,826.29
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.00 / $1,487.64 / $1,487.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.00 / $4,647.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.89 / $1,355.70 / $2,706.54