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Connecticut rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.00 / $5,297.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.84 / $1,244.10 / $1,976.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $13,227.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.71 / $1,668.10 / $2,011.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.16 / $1,250.43 / $2,514.05
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.28 / $1,321.14 / $1,321.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.03 / $1,220.55 / $2,408.67