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Washington, DC 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
$1,026.04 / $5,076.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.04 / $1,026.04 / $1,026.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.60 / $1,078.78 / $9,067.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.56 / $1,190.78 / $3,037.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.86 / $2,014.53 / $2,014.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.42 / $1,309.68 / $2,617.88