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Virginia 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
$1,018.67 / $5,412.00 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.45 / $1,018.67 / $1,266.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,814.00 / $13,820.00 / $14,999.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.86 / $1,054.81 / $1,446.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.60 / $1,553.44 / $8,031.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.20 / $1,203.88 / $2,236.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.27 / $1,026.32 / $1,265.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.38 / $1,248.34 / $1,666.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.00 / $1,254.00 / $2,097.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.44 / $1,194.13 / $2,155.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.44 / $1,194.13 / $2,155.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $1,893.00 / $4,428.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.81 / $1,204.90 / $1,817.06