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Michigan 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
$676.08 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $616.60 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $891.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,584.89 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $851.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,606.93 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $891.25