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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
$1,300.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.54 / $671.78 / $671.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,486.27 / $10,251.95 / $16,323.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.90 / $689.90 / $704.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.44 / $718.81 / $843.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.78 / $1,014.00 / $7,992.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.91 / $680.28 / $3,983.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.00 / $5,068.00 / $8,608.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.19 / $609.77 / $873.03