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Oklahoma 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
$1,300.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.83 / $1,137.21 / $1,137.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.56 / $1,167.56 / $1,192.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.84 / $1,213.07 / $1,425.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,265.00 / $4,705.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.20 / $1,146.66 / $6,696.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.00 / $1,279.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.51 / $1,022.46 / $1,552.14