go back

Utah rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.81 / $143.62 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.17 / $129.22 / $227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.65 / $139.85 / $189.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $86.05 / $110.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.48 / $484.37 / $682.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.88 / $144.31 / $170.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $122.40 / $228.23