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Missouri 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
$1,110.00 / $3,351.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.71 / $915.97 / $978.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.19 / $1,001.00 / $1,639.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.40 / $1,139.75 / $2,087.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.95 / $1,683.72 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.03 / $1,480.16 / $5,951.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.77 / $1,073.72 / $2,497.14