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Tennessee 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
$1,100.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.20 / $664.10 / $774.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,523.00 / $4,564.00 / $7,950.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.06 / $674.12 / $1,086.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.47 / $741.71 / $1,170.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.32 / $14,302.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,895.44 / $3,983.12 / $4,457.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,791.00 / $4,567.00 / $7,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.54 / $748.43 / $1,173.75