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Indiana 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
$880.68 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.20 / $880.68 / $1,174.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,650.00 / $32,251.00 / $57,499.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.04 / $1,045.06 / $1,442.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.39 / $905.20 / $1,023.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.29 / $1,091.19 / $1,857.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $2,854.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.53 / $1,055.04 / $1,873.61