go back

Arkansas 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
$989.00 / $1,295.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.80 / $1,054.48 / $1,140.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.00 / $1,066.76 / $1,066.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,520.11 / $3,520.11 / $3,520.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.48 / $1,350.00 / $1,500.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.20 / $872.83 / $1,653.68