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Utah rates for HCPCS 54417

Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.61 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.23 / $1,201.61 / $1,797.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.83 / $1,262.01 / $1,676.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $642.10 / $856.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,000.18 / $24,339.35 / $35,469.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.94 / $1,350.99 / $1,579.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $35,614.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.68 / $1,038.40 / $1,869.13