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Illinois 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
$1,004.15 / $2,755.00 / $6,614.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.81 / $1,004.15 / $1,697.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,186.42 / $18,283.80 / $25,191.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.79 / $1,854.79 / $1,854.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $6,951.00 / $7,469.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.69 / $1,280.97 / $1,837.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.08 / $1,518.18 / $3,864.68
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.53 / $1,134.64 / $1,233.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,423.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.00 / $1,900.00 / $4,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.39 / $1,240.33 / $2,016.67