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Rhode Island rates for HCPCS 54200

Injection procedure for Peyronie disease;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $125.89 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $109.65 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $158.49 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $131.83 / $204.17