Penile injection therapy

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR INJ CORPCAV W PHARM AGENT

Payers reporting CPT 54235

Payer pricing summary

Low

$95

Average

$754

Median

$460

High

$5.8k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +36 other terms	615	$252	$694	$1.5k	220%	63–108	$1 – $17.9k
2	Humana fee schedule · outpatient · +32 other terms	409	$244	$351	$876	250%	3–30	$1 – $12.8k
3	Kaiser fee schedule · outpatient · +25 other terms	100	$356	$504	$647	129%	2–20	$20 – $4.3k
4	Ucare professional · fee schedule · outpatient · +18 other terms	16	$39	$41	$10	24%	2–20	$26 – $65
5	Aetna fee schedule · outpatient · +39 other terms	543	$270	$1.3k	$3.3k	261%	1–10	$1 – $33.6k
6	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	403	$337	$720	$1.8k	243%	—	$0 – $21.6k
7	Cigna case rate · outpatient · +32 other terms	287	$1.8k	$4.7k	$7.2k	155%	—	$0 – $40.7k
8	Molina fee schedule · outpatient · +29 other terms	226	$175	$194	$409	211%	—	$1 – $3.2k
9	WellCare fee schedule · outpatient · +26 other terms	202	$258	$320	$507	159%	—	$37 – $4.3k
10	Anthem fee schedule · outpatient · +30 other terms	132	$309	$366	$714	195%	—	$43 – $7.0k
11	Oscar case rate · outpatient · +23 other terms	129	$2.5k	$2.6k	$754	29%	—	$380 – $7.5k
12	Ambetter fee schedule · outpatient · +21 other terms	91	$434	$370	$289	78%	—	$24 – $2.3k
13	MultiPlan fee schedule · outpatient · +21 other terms	84	$396	$420	$159	38%	—	$1 – $836
14	Aetna Better Health fee schedule · outpatient · +17 other terms	76	$44	$68	$55	81%	—	$39 – $280
15	Optum fee schedule · outpatient · +25 other terms	73	$227	$332	$395	119%	—	$66 – $2.8k
16	Devoted fee schedule · outpatient · +17 other terms	68	$247	$229	$63	28%	—	$72 – $319
17	Caresource fee schedule · outpatient · +17 other terms	67	$273	$353	$656	186%	—	$1 – $4.3k
18	Tricare fee schedule · outpatient · +20 other terms	59	$246	$561	$1.2k	214%	—	$67 – $5.1k
19	Healthcare Highways case rate · outpatient · +3 other terms	39	$5.8k	$6.6k	$5.1k	77%	—	$2.1k – $14.6k
20	Highmark facility · fee schedule · outpatient · +18 other terms	39	$393	$389	$250	64%	—	$69 – $1.0k
21	Superior Healthplan case rate · outpatient · +5 other terms	38	$948	$934	$80	9%	—	$365 – $948
22	Cigna Healthspring fee schedule · outpatient · +10 other terms	37	$67	$142	$100	70%	—	$37 – $266
23	First Health fee schedule · outpatient · +21 other terms	35	$261	$218	$181	83%	—	$35 – $683
24	Clover fee schedule · outpatient · +13 other terms	33	$272	$787	$1.3k	167%	—	$226 – $4.4k
25	Medicare fee schedule · outpatient · +19 other terms	30	$72	$593	$1.2k	204%	—	$66 – $4.1k

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