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Oregon 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
$1,971.72 / $8,878.56 / $20,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.76 / $1,270.89 / $4,733.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.99 / $1,938.33 / $2,639.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.45 / $2,055.36 / $2,314.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.89 / $1,906.75 / $2,732.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.98 / $1,597.05 / $2,867.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.76 / $1,689.25 / $1,798.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.89 / $1,981.95 / $2,408.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.51 / $2,060.87 / $2,637.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,811.37 / $47,264.70 / $69,823.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.06 / $2,202.21 / $2,815.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,385.00 / $7,480.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.93 / $1,915.57 / $2,821.46