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Kentucky 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
$758.87 / $1,033.89 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.87 / $792.57 / $978.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,389.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.45 / $866.96 / $1,235.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.32 / $1,036.71 / $1,195.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.51 / $1,036.71 / $1,481.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.54 / $908.87 / $908.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.58 / $1,130.66 / $1,727.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.25 / $1,061.76 / $1,661.32