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Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.27 / $1,130.34 / $1,597.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.53 / $1,374.13 / $1,534.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.67 / $1,388.73 / $1,748.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.46 / $1,359.12 / $1,553.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,120.56 / $1,409.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,562.96 / $12,228.99 / $15,681.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.93 / $1,219.93 / $1,497.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.31 / $1,091.11 / $1,710.14