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Pennsylvania rates for HCPCS 54250

Nocturnal penile tumescence and/or rigidity test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.84 / $123.15 / $155.04
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.24 / $125.82 / $125.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.37 / $159.61 / $241.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.69 / $184.09 / $187.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.22 / $128.66 / $1,234.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.40 / $233.80 / $304.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.81 / $163.89 / $274.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.75 / $119.21 / $186.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.82 / $153.74 / $253.98