go back

New York 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
$705.87 / $4,792.00 / $11,220.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.91 / $689.15 / $1,030.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.88 / $516.60 / $1,308.43
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.69 / $2,390.00 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.69 / $751.69 / $751.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.82 / $605.82 / $6,511.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.69 / $919.49 / $2,088.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $563.54 / $1,372.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.83 / $726.19 / $1,086.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.48 / $644.85 / $975.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $605.82 / $6,511.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.60 / $908.65 / $1,919.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,406.00 / $4,893.00 / $10,167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.20 / $664.92 / $1,649.62
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.14 / $712.14 / $1,700.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.29 / $712.14 / $1,129.71