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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
$1,017.00 / $3,417.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.87 / $910.87 / $2,036.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.94 / $960.04 / $6,458.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.98 / $1,099.35 / $2,695.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.36 / $1,789.06 / $1,789.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.74 / $1,141.64 / $2,324.88