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New Jersey 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
$1,120.58 / $6,515.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.84 / $921.75 / $1,527.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.49 / $1,353.34 / $2,856.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.73 / $1,391.48 / $1,655.57
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,582.88 / $31,587.19 / $68,496.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.01 / $939.98 / $1,786.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.00 / $3,961.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.35 / $915.63 / $2,037.62