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Tennessee 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
$1,103.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.51 / $1,122.01 / $1,309.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,330.00 / $7,178.00 / $13,734.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.11 / $1,141.88 / $1,835.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.95 / $1,245.14 / $1,977.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $54,004.00 / $54,004.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,662.00 / $6,696.32 / $7,483.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $25,025.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.33 / $1,222.31 / $1,963.75