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Montana 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 / $707.95 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $891.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $933.25 / $1,096.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $933.25 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $549.54 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $912.01 / $1,318.26