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Minnesota rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.26 / $718.26 / $3,638.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.26 / $803.36 / $1,315.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,271.94 / $10,689.38 / $20,925.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.66 / $2,069.83 / $2,904.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,922.05 / $2,725.70 / $6,557.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.86 / $2,627.92 / $3,749.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.49 / $2,491.94 / $5,163.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.95 / $2,354.66 / $3,120.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.21 / $1,598.72 / $10,533.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.94 / $2,082.21 / $3,219.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.94 / $2,082.21 / $3,210.50