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Massachusetts rates for HCPCS 54417

Rmvl & Rplcmt Penile Prosthesis Infected Field

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.76 / $1,055.51 / $2,221.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,430.00 / $33,352.30
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.19 / $1,763.77 / $6,662.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.21 / $1,787.78 / $3,296.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.03 / $1,893.48 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.29 / $1,019.01 / $1,642.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.15 / $2,194.81 / $2,942.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,408.00 / $7,835.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.72 / $1,979.43 / $6,662.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.21 / $1,387.82 / $3,209.40