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Idaho rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.08 / $201.08 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $129.22 / $227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.30 / $157.78 / $193.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.63 / $169.82 / $239.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.04 / $173.38 / $229.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $163.37 / $205.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.81 / $584.88 / $748.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.04 / $161.41 / $216.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.53 / $158.22 / $224.70