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New Hampshire 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
$100.00 / $3,625.59 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.76 / $1,556.51 / $3,625.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,334.70 / $15,674.40 / $29,801.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.58 / $1,706.64 / $2,647.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.54 / $1,850.17 / $2,955.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.92 / $1,985.63 / $3,297.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,035.00 / $8,035.00 / $8,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.59 / $1,516.74 / $3,090.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.54 / $845.45 / $1,242.81