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Pennsylvania rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.96 / $832.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.84 / $106.98 / $232.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.60 / $119.97 / $183.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.42 / $133.31 / $213.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $184.69 / $188.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.75 / $451.75 / $451.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $3,964.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.68 / $119.54 / $305.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $141.60 / $302.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.21 / $133.80 / $214.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.65 / $89.37 / $140.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.45 / $109.69 / $119.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.79 / $136.03 / $216.82