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West Virginia rates for HCPCS 54200

Injection Peyronie Disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.80 / $92.22 / $122.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.89 / $104.73 / $127.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.51 / $101.57 / $110.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.36 / $98.36 / $98.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.34 / $148.34 / $148.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.29 / $141.78 / $417.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.14 / $1,144.14 / $1,144.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.37 / $126.50 / $201.97