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Iowa rates for HCPCS 54405

Insj Multi-Component Inflatable Penile Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.00 / $4,917.20 / $9,248.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.17 / $1,325.63 / $2,195.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.95 / $2,246.00 / $45,147.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9,288.33 / $9,288.33 / $9,288.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.00 / $2,466.31 / $32,360.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,146.00 / $25,936.95 / $51,693.32