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Montana rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $117.48 / $447.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.81 / $138.81 / $138.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.13 / $139.68 / $185.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.58 / $200.20 / $209.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $138.81 / $190.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.08 / $190.19 / $320.05