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Tennessee rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.21 / $998.60 / $1,165.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.00 / $4,564.00 / $7,782.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.93 / $1,017.00 / $1,633.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.74 / $1,117.59 / $1,757.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,944.40 / $14,302.50 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,822.80 / $5,951.76 / $6,645.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.62 / $1,166.42 / $1,794.49