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Idaho rates for HCPCS 54400

Insertion of penile prosthesis; non-inflatable (semi-rigid)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $10,000.00 / $33,113.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,096.48 / $4,168.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $28,840.32 / $41,686.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $39,810.72 / $40,738.03