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Idaho rates for HCPCS 54408

Repair of component(s) of a multi-component, inflatable penile prosthesis

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
$903.11 / $1,373.36 / $1,719.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,562.96 / $12,228.99 / $15,681.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00