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Iowa rates for HCPCS 54405

Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,981.07 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,445.44 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $12,022.64 / $53,703.18
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,905.46 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $19,054.61 / $54,954.09