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Indiana 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
$782.83 / $1,941.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.93 / $782.83 / $1,043.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,796.00 / $6,340.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.53 / $993.17 / $1,410.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.41 / $946.21 / $1,091.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.85 / $873.42 / $1,091.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,379.37 / $3,379.37 / $3,379.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.39 / $1,031.31 / $1,728.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.79 / $935.89 / $1,615.64