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Nebraska 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
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.12 / $734.12 / $4,213.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,242.16 / $13,880.76 / $26,057.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.92 / $1,213.52 / $1,618.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.59 / $1,843.69 / $2,450.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.09 / $1,394.83 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.60 / $1,857.32 / $5,951.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.59 / $1,885.10 / $4,791.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.00 / $1,747.44 / $2,436.05
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
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.67 / $1,857.32 / $1,896.23