go back

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
$531.28 / $531.28 / $929.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.46 / $705.04 / $1,123.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.45 / $799.25 / $1,145.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.44 / $766.88 / $1,176.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.28 / $531.28 / $929.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,167.24 / $10,167.24 / $10,167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.14 / $753.60 / $1,064.72