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Virginia 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
$910.87 / $3,645.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.71 / $906.57 / $1,127.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.97 / $937.31 / $1,285.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.94 / $1,268.31 / $9,211.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.49 / $1,071.40 / $1,990.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.72 / $911.66 / $1,124.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.43 / $1,114.82 / $1,633.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.00 / $1,117.00 / $1,863.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.78 / $1,073.19 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.78 / $1,073.19 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.82 / $1,057.86 / $1,734.05