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Rhode Island 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
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.42 / $891.82 / $1,059.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.06 / $987.13 / $1,565.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,075.57 / $1,669.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.33 / $1,149.35 / $1,736.24