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Utah rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $5,888.44 / $8,511.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $22,387.21 / $51,286.14
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,128.61 / $35,481.34