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Idaho rates for HCPCS 54417

Rmvl & Rplcmt Penile Prosthesis Infected Field

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.23 / $1,270.89 / $1,797.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.18 / $1,543.85 / $1,723.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.73 / $1,562.18 / $1,957.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.64 / $1,530.08 / $1,748.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,261.08 / $1,586.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,286.76 / $32,740.41 / $40,435.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.87 / $1,372.87 / $1,684.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.00 / $39,436.00 / $39,579.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.04 / $1,290.50 / $1,863.40