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Arizona 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
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.42 / $831.55 / $4,213.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.91 / $742.54 / $928.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.11 / $968.02 / $1,754.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.42 / $1,105.00 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.84 / $930.68 / $5,951.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.41 / $876.29 / $1,546.71