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Massachusetts rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.42 / $940.78 / $1,976.85
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.99 / $5,097.00 / $16,394.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.38 / $1,569.87 / $5,822.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.79 / $1,591.14 / $2,926.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.58 / $1,680.58 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $904.90 / $1,458.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.45 / $1,961.39 / $2,848.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.37 / $1,761.81 / $5,822.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.04 / $1,232.83 / $2,865.93