go back

Utah rates for HCPCS 54250

Nocturnal penile tumescence and/or rigidity test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $138.04 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $165.96 / $251.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $186.21 / $213.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $223.87 / $257.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $158.49 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $144.54 / $251.19