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Delaware 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
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.66 / $714.66 / $819.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.50 / $991.23 / $1,406.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.81 / $930.23 / $1,825.27