go back

Virginia 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
$616.60 / $5,495.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $616.60 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $954.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $891.25 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $1,479.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,122.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $707.95 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $660.69 / $1,096.48