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Utah rates for HCPCS 54401

Insj Penile Prosthesos Inflatable Self-Contained

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.62 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.62 / $874.62 / $1,321.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.65 / $910.74 / $1,243.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $465.61 / $608.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,214.18 / $38,246.81 / $55,736.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.73 / $976.09 / $1,141.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.00 / $4,912.00 / $35,614.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.34 / $796.07 / $1,366.56