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North Carolina 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
$779.71 / $1,284.77 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.71 / $779.71 / $1,409.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.36 / $1,394.47 / $2,034.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.77 / $1,328.70 / $2,145.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.71 / $1,095.25 / $1,979.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.25 / $1,095.25 / $1,977.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,349.10 / $1,980.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.21 / $1,095.72 / $2,228.34
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,944.40 / $14,302.50 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,822.80 / $5,822.80 / $6,645.23