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Utah 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
$707.95 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $933.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $19,952.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $954.99
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $977.24 / $1,122.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,096.48