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Oregon rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $229.09 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $125.89 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $223.87 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $204.17 / $295.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $165.96 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $281.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $204.17 / $234.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $165.96 / $257.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $199.53 / $302.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $776.25 / $977.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $223.87 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,230.27 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $302.00