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Oklahoma 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
$1,288.25 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $10,000.00 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,691.53 / $10,715.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $812.83