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Rhode Island rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $112.36 / $146.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.98 / $139.82 / $177.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.27 / $161.51 / $228.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.89 / $158.37 / $260.30