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New Hampshire 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
$2,187.76 / $2,398.83 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,623.41 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,122.02 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $1,023.29 / $1,819.70
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $891.25 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,819.70