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Idaho rates for HCPCS 54410

Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session

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
$984.46 / $1,498.11 / $1,892.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,421.19 / $50,624.32 / $64,304.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,798.00 / $39,436.00 / $39,579.00