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Idaho rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.12 / $943.56 / $1,321.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.16 / $1,131.30 / $1,263.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.92 / $1,147.43 / $1,691.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.98 / $1,141.19 / $1,304.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,058.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,421.19 / $50,624.32 / $64,304.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.51 / $1,023.51 / $1,244.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,798.00 / $39,436.00 / $39,579.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.98 / $942.50 / $1,394.96