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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
$3,162.28 / $6,456.54 / $12,022.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $35,481.34 / $81,283.05
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,258.93 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $5,128.61 / $35,481.34