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Vermont rates for HCPCS 54111

Excision of penile plaque (Peyronie disease); with graft to 5 cm in length

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.07 / $1,009.07 / $4,213.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.15 / $1,323.49 / $2,827.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.31 / $1,323.49 / $2,827.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.84 / $1,135.64 / $3,470.18