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Alaska rates for HCPCS 54205

Injection procedure for Peyronie disease; with surgical exposure of plaque

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $851.14 / $4,168.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $3,715.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $3,090.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $4,265.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $512.86 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,445.44 / $3,630.78