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Ohio 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
$1,370.64 / $5,217.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.68 / $921.75 / $2,433.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.00 / $9,153.00 / $60,320.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.89 / $938.42 / $1,592.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.56 / $1,020.67 / $1,263.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.59 / $935.62 / $935.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.13 / $1,190.78 / $1,825.69
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.42 / $1,281.71 / $1,763.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.77 / $876.60 / $1,248.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,952.00 / $4,132.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.44 / $1,118.80 / $1,887.49