go back

Utah rates for HCPCS 54235

Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $186.21 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $112.20 / $169.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $512.86 / $912.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $158.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $144.54 / $181.97
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $162.18