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Mississippi rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,250.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.46 / $1,453.95 / $2,053.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.15 / $2,569.15 / $2,569.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.00 / $1,577.00 / $1,577.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.65 / $2,608.65 / $5,940.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.92 / $1,338.54 / $1,747.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,428.00 / $9,302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.63 / $981.12 / $1,754.75