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Missouri 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
$1,698.24 / $4,265.80 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $1,348.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $741.31 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,949.84 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $812.83 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,090.30 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,318.26