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Louisiana rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.09 / $1,100.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.08 / $129.22 / $171.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.76 / $479.55 / $762.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.09 / $148.12 / $195.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.97 / $132.87 / $178.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.24 / $136.63 / $220.21