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Maine 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
$537.03 / $630.96 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,174.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,071.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,174.90