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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
$3,388.44 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,495.41 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,023.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,096.48 / $4,168.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $933.25 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,748.98 / $16,218.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,023.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $933.25 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,096.48