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Michigan 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
$1,141.47 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.68 / $1,141.47 / $1,141.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,274.59 / $20,164.66 / $27,469.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.75 / $935.75 / $1,547.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.29 / $1,034.63 / $1,837.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.52 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.52 / $1,015.64 / $1,447.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.23 / $767.16 / $1,185.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $3,005.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.46 / $1,206.14 / $1,497.51