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New Jersey rates for HCPCS 54111

Excision of penile plaque (Peyronie disease); with graft to 5 cm in length

Facilitymedian $5,888 · 10th–90th $4,365–$10,9650%10%10th90th$5,888Professionalmedian $912 · 10th–90th $708–$2,1380%10%10th90th$912$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,888.44 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $912.01 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,148.15 / $2,754.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,023.29 / $1,348.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $16,218.10 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $912.01 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $8,709.64 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $831.76 / $1,584.89