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Alaska rates for HCPCS 54111

Excision of penile plaque (Peyronie disease); with graft to 5 cm in length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,549.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $6,309.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $5,623.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,466.84 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $776.25 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,238.72 / $5,495.41