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Maryland rates for HCPCS 54205

Injection procedure for Peyronie disease; with surgical exposure of plaque

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,412.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $588.84 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $1,071.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $776.25