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Utah 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
$1,083.51 / $4,387.00 / $11,991.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,214.18 / $38,246.81 / $55,736.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,960.00 / $15,299.00 / $35,614.00