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North Carolina 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
$877.45 / $1,615.00 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.45 / $877.45 / $1,586.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.21 / $1,798.80 / $2,284.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.35 / $1,490.99 / $2,381.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.45 / $1,215.26 / $2,226.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.66 / $1,225.66 / $2,222.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,283.00 / $2,231.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.00 / $2,417.00 / $4,102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.38 / $1,242.58 / $2,507.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,314.56 / $54,004.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,662.00 / $6,662.00 / $7,483.28