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Idaho rates for HCPCS 54400

Insj Penile Prosthesis Non-Inflatable Semi-Rigid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.19 / $924.15 / $1,363.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,676.78 / $31,835.11 / $40,113.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $39,436.00 / $39,579.00