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Texas 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
$735.71 / $2,673.00 / $7,495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.71 / $857.64 / $1,145.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,393.73 / $6,347.43 / $12,610.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.42 / $853.11 / $1,278.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.41 / $708.41 / $708.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.61 / $3,619.61 / $3,619.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.63 / $1,078.11 / $1,663.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $16,394.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,822.80 / $5,951.76 / $6,645.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.48 / $1,028.46 / $1,769.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.63 / $1,188.26 / $1,397.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.40 / $1,232.40 / $1,232.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.48 / $1,028.46 / $2,021.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.63 / $1,095.44 / $1,679.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.22 / $917.43 / $1,477.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.84 / $758.96 / $1,048.44