go back

Minnesota rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.66 / $108.55 / $108.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.66 / $109.23 / $201.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.82 / $523.65 / $999.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.60 / $266.77 / $414.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.95 / $416.86 / $1,002.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.27 / $344.83 / $512.99
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.96 / $381.11 / $789.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.04 / $292.00 / $474.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.44 / $181.55 / $630.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.24 / $311.51 / $654.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.21 / $265.41 / $441.58