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Massachusetts 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 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,698.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,309.57 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $812.83 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,000.00 / $1,862.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $812.83 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $562.34 / $831.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $954.99 / $1,513.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,456.54 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $812.83 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,819.70