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Oklahoma rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.32 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.33 / $115.37 / $142.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.47 / $376.47 / $376.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $108.71 / $147.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.68 / $132.31 / $166.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.65 / $145.13 / $1,470.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $164.70 / $873.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $607.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.95 / $125.84 / $180.17