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Washington, DC 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
$1,412.54 / $4,073.80 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $2,511.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,949.84 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $2,290.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $794.33 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $16,218.10 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $2,187.76