go back

Maine 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
Professional
Modifier
Low / Median / High Price
$896.53 / $896.53 / $1,556.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.58 / $1,192.93 / $1,888.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.50 / $1,345.01 / $1,926.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.92 / $1,289.10 / $1,977.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.53 / $896.53 / $1,556.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.92 / $1,273.26 / $1,783.98