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Maryland rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.12 / $910.87 / $4,213.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.94 / $880.77 / $1,006.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.10 / $1,084.05 / $2,483.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.17 / $1,094.82 / $1,748.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $972.51 / $1,928.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.97 / $946.65 / $1,177.17