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Indiana rates for HCPCS 54220

Irrigation of corpora cavernosa for priapism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $526.75 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $185.19 / $247.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,677.00 / $5,445.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.28 / $233.44 / $400.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.20 / $157.01 / $274.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.11 / $230.13 / $300.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.16 / $175.16 / $175.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.94 / $225.46 / $416.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.61 / $251.92 / $431.73