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California rates for HCPCS 54250

Nocturnal penile tumescence and/or rigidity test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.71 / $126.70 / $645.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.65 / $184.03 / $371.45
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $136.25 / $335.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.79 / $166.15 / $504.77
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $137.32 / $164.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.78 / $158.21 / $284.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.88 / $1,156.83 / $1,195.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.86 / $170.57 / $347.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.26 / $400.26 / $400.26
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $149.11 / $188.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.34 / $150.56 / $445.41