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Idaho rates for HCPCS 54406

Rmvl Inflatable Penile Prosth W/O Rplcmt Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.70 / $1,270.60 / $1,590.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,789.17 / $8,522.07 / $10,689.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00