go back

Missouri 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
$1,704.00 / $5,389.00 / $12,228.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.07 / $1,030.79 / $1,101.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $21,783.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.26 / $1,070.04 / $1,838.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,436.00 / $7,469.00 / $11,141.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.49 / $1,280.46 / $2,234.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,401.50 / $3,314.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.70 / $1,662.43 / $6,696.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,751.00 / $32,031.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.33 / $1,133.05 / $2,472.09