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Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.38 / $756.98 / $1,063.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.21 / $913.46 / $1,019.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.83 / $922.58 / $1,361.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.21 / $910.23 / $1,040.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $749.21 / $942.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,886.52 / $12,228.99 / $15,681.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.89 / $817.89 / $998.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $10,167.24 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.52 / $764.50 / $1,133.67