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Missouri rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.83 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.76 / $117.48 / $247.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $117.52 / $199.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.35 / $152.05 / $243.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.76 / $157.88 / $755.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.49 / $240.76 / $873.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.79 / $137.91 / $319.38