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North Carolina rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.92 / $127.59 / $1,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.92 / $111.50 / $183.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.59 / $183.14 / $291.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.71 / $160.62 / $265.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.92 / $145.85 / $222.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.85 / $145.85 / $275.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $170.90 / $302.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.31 / $149.66 / $317.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $454.10 / $454.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.88 / $895.28 / $994.80