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Illinois rates for HCPCS 54205

Njx Peyronie W/Surg Expos Plaque

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.68 / $2,758.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.49 / $593.74 / $1,000.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,656.89 / $7,683.94 / $14,011.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.15 / $1,097.15 / $1,097.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.07 / $765.84 / $1,088.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.91 / $884.08 / $2,319.92
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.88 / $671.16 / $730.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $843.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.00 / $5,000.00 / $8,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.08 / $801.55 / $1,461.35