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Maine rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.89 / $110.81 / $193.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.87 / $125.29 / $190.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.35 / $169.61 / $252.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.47 / $146.33 / $227.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.87 / $110.81 / $193.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.46 / $169.30 / $238.29