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Oklahoma rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.80 / $3,576.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.36 / $1,010.80 / $1,010.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,486.27 / $10,251.95 / $16,323.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.23 / $806.58 / $1,061.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.45 / $1,078.11 / $1,277.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.33 / $1,481.00 / $10,198.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.63 / $1,019.45 / $5,951.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.97 / $917.43 / $1,313.51