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Nebraska rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.27 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $107.27 / $510.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.46 / $484.46 / $909.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.04 / $155.08 / $222.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.68 / $255.16 / $318.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.66 / $160.91 / $413.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.62 / $257.32 / $873.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.25 / $218.77 / $311.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.48 / $222.01 / $305.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $150.10 / $302.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.62 / $236.03 / $277.08