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New York rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.84 / $2,836.00 / $9,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $125.71 / $281.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.68 / $128.93 / $270.20
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.06 / $120.06 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $120.06 / $161.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.34 / $148.34 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.42 / $181.94 / $407.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $129.75 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.40 / $159.13 / $238.16
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.53 / $141.32 / $214.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.51 / $30.51 / $30.51
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.34 / $555.00 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.27 / $181.94 / $397.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.52 / $137.04 / $308.01
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.14 / $117.14 / $270.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.02 / $156.22 / $235.77