go back

Texas 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
$836.72 / $3,620.00 / $12,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.53 / $572.66 / $786.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,639.19 / $6,643.64 / $12,314.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.17 / $504.15 / $581.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.96 / $478.96 / $478.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.61 / $3,619.61 / $3,619.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.36 / $716.67 / $1,110.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,895.44 / $3,983.12 / $4,457.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.84 / $683.93 / $1,176.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.17 / $795.80 / $936.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.90 / $800.90 / $800.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.84 / $687.57 / $1,350.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.36 / $726.18 / $1,120.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $5,210.00 / $10,476.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.47 / $609.77 / $982.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.92 / $507.10 / $702.53