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West Virginia rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.01 / $808.01 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.47 / $819.46 / $910.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.74 / $942.12 / $1,026.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.41 / $912.41 / $912.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.87 / $908.87 / $908.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.71 / $1,140.51 / $5,231.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.92 / $1,137.36 / $2,050.00