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Texas rates for HCPCS 54220

Irrigation of corpora cavernosa for priapism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.86 / $1,978.00 / $6,386.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.51 / $206.15 / $292.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.28 / $375.69 / $382.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.06 / $375.84 / $838.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.90 / $202.67 / $341.11
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.56 / $158.50 / $2,197.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.35 / $182.33 / $417.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $340.80 / $340.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.61 / $187.61 / $187.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $234.91 / $375.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.60 / $12,000.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.00 / $1,600.88 / $1,879.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.72 / $234.18 / $419.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.47 / $242.47 / $378.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.80 / $234.80 / $234.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.72 / $237.23 / $450.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.07 / $240.46 / $405.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $950.00 / $2,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.83 / $235.20 / $372.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.69 / $208.66 / $292.39