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Pennsylvania rates for HCPCS 54220

Irrigation of corpora cavernosa for priapism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.40 / $1,426.00 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $201.18 / $310.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.67 / $226.92 / $226.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.08 / $227.80 / $388.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.13 / $349.44 / $352.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.02 / $774.07 / $1,467.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.00 / $1,741.00 / $7,197.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.80 / $208.54 / $586.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $206.20 / $573.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.51 / $230.14 / $394.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.72 / $130.47 / $213.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $175.19 / $227.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.20 / $260.95 / $446.37