go back

Minnesota 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
$808.47 / $808.47 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.47 / $902.50 / $1,480.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,458.68 / $22,333.48 / $45,619.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.98 / $2,329.31 / $3,268.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,163.78 / $3,068.50 / $7,381.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $2,958.42 / $4,222.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.99 / $2,805.35 / $5,812.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.52 / $2,651.68 / $3,514.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.31 / $1,755.00 / $3,958.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.41 / $2,339.30 / $3,616.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.41 / $2,153.81 / $3,606.91