go back

Utah rates for HCPCS 54231

Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $147.91 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $269.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $204.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $251.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $223.87 / $295.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $251.19