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Virginia rates for HCPCS 54250

Nocturnal penile tumescence and/or rigidity test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.75 / $137.44 / $171.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.56 / $142.66 / $195.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.60 / $227.12 / $474.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $166.19 / $302.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.74 / $138.88 / $171.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $151.86 / $229.50
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $150.59 / $291.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.95 / $175.91 / $262.79