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Virginia rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.84 / $3,633.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $117.48 / $184.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.94 / $117.92 / $173.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.63 / $152.12 / $974.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $133.10 / $230.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.53 / $135.04 / $166.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.37 / $137.71 / $200.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.00 / $155.00 / $219.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.60 / $112.02 / $805.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.56 / $145.78 / $805.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.73 / $156.36 / $239.17