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Idaho rates for HCPCS 54411

Rmvl & Rplcmt Nfltbl Penile Prosth Infected Fiel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.72 / $1,788.81 / $2,234.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,421.19 / $52,484.81 / $64,304.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $39,436.00 / $39,579.00