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Ohio rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.56 / $505.68 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.95 / $117.56 / $217.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.20 / $105.22 / $184.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.76 / $99.31 / $122.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.89 / $119.24 / $119.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.04 / $135.50 / $220.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.35 / $258.51 / $371.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.17 / $142.63 / $222.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.01 / $115.47 / $157.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $979.00 / $3,218.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $137.28 / $228.40