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Ohio 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
$1,218.54 / $3,325.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.83 / $819.46 / $2,164.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,142.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.81 / $866.96 / $1,513.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.90 / $907.08 / $1,122.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.49 / $831.49 / $900.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.79 / $1,066.54 / $1,624.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.90 / $1,143.73 / $1,569.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.89 / $767.99 / $1,107.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.47 / $1,020.47 / $1,778.28