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Massachusetts rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.08 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $125.71 / $289.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.01 / $502.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $218.47 / $895.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.10 / $137.93 / $243.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.65 / $100.65 / $135.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.53 / $216.01 / $443.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $276.13 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $140.58 / $220.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.51 / $241.24 / $331.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.48 / $203.48 / $203.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,078.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.62 / $339.93 / $895.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.21 / $193.82 / $415.16