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New Jersey 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
$1,006.24 / $5,398.00 / $9,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.80 / $819.46 / $1,358.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.40 / $1,211.29 / $2,544.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.02 / $1,235.35 / $1,470.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,359.29 / $14,052.17 / $25,101.06
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.20 / $882.84 / $1,590.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.50 / $851.97 / $1,812.96