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Hawaii 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
$1,949.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $616.60 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $660.69
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $2,691.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $588.84 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $851.14
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $4,073.80 / $7,943.28