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Montana 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
$936.37 / $4,733.84 / $4,733.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.25 / $1,411.25 / $1,411.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.71 / $1,411.25 / $1,500.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.35 / $1,676.35 / $1,719.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.81 / $1,276.33 / $1,841.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.11 / $1,557.61 / $2,453.10