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California rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.48 / $6,695.00 / $19,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $119.54 / $493.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,505.00 / $9,119.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.66 / $141.40 / $299.29
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,588.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $114.22 / $257.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.57 / $110.59 / $260.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.70 / $133.63 / $313.39
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.08 / $106.40 / $160.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.94 / $133.87 / $239.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $413.12 / $454.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.88 / $873.44 / $994.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.59 / $130.97 / $192.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $141.63 / $296.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.48 / $277.48 / $368.84
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.08 / $95.21 / $162.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.00 / $1,495.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.76 / $133.61 / $368.98