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Utah rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $912.01 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,148.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $35,481.34 / $81,283.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,174.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,230.27 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $5,128.61 / $35,481.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,380.38