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Georgia rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.40 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.21 / $986.41 / $1,701.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.84 / $3,640.00 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.53 / $1,102.54 / $2,062.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.25 / $3,185.25 / $3,185.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.30 / $1,340.59 / $2,245.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.08 / $1,018.00 / $2,110.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.28 / $1,191.58 / $1,918.78