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California 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
$2,197.85 / $7,858.00 / $18,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.04 / $554.28 / $2,811.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $6,048.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.88 / $799.36 / $1,565.55
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,317.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.42 / $549.62 / $1,344.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.52 / $3,764.71 / $8,869.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.78 / $700.04 / $2,120.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.74 / $608.00 / $820.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.55 / $699.16 / $1,247.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.32 / $14,302.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,895.44 / $3,983.12 / $4,457.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.65 / $705.38 / $974.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.55 / $714.40 / $1,519.49
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.28 / $1,744.28 / $1,744.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.74 / $547.10 / $675.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,884.00 / $9,465.00 / $20,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.08 / $655.70 / $1,876.00