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Louisiana 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
$756.00 / $2,418.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.95 / $1,286.32 / $1,405.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,294.90 / $21,517.27 / $41,441.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.59 / $1,311.94 / $1,634.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.43 / $1,162.22 / $1,560.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,049.00 / $2,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.48 / $1,123.70 / $1,890.39