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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
$3,548.13 / $8,912.51 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $2,884.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,659.59
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $4,786.30 / $11,748.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,479.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,466.84 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,412.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $10,000.00 / $20,892.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $1,513.56