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Pennsylvania 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 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $1,445.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $1,047.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $831.76
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,047.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,570.88 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,737.80
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,071.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,122.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $512.86 / $575.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $524.81 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,981.07 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $1,071.52