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Illinois rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.28 / $321.76 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.49 / $117.70 / $197.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.91 / $975.80 / $2,270.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.33 / $179.56 / $234.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.79 / $144.66 / $212.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.30 / $176.26 / $375.02
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.91 / $109.85 / $158.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $182.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $900.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.40 / $166.25 / $278.89