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Delaware 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
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.63 / $804.63 / $921.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.30 / $1,113.19 / $1,583.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.37 / $979.70 / $2,085.56