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New Mexico 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
$878.17 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.07 / $917.76 / $1,515.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.49 / $1,372.54 / $1,686.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $259.03 / $1,399.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.87 / $1,063.83 / $1,370.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.28 / $1,372.54 / $1,686.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $2,516.00 / $2,655.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.50 / $1,428.21 / $2,052.42