go back

Wisconsin 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
$851.14 / $1,621.81 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,995.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,513.56 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,511.89 / $2,884.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $3,090.30 / $5,370.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,949.84 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $7,585.78 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $5,888.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,071.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,819.70 / $2,511.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $14,454.40 / $14,454.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $3,890.45 / $5,888.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,890.45 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,288.25 / $3,467.37