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Maryland rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.09 / $118.64 / $486.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.58 / $104.63 / $120.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.11 / $78.11 / $78.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.12 / $142.43 / $286.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.83 / $163.36 / $262.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.00 / $128.00 / $128.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.73 / $137.22 / $264.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.91 / $141.25 / $174.48