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Wyoming 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
$799.05 / $799.05 / $799.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.00 / $1,734.00 / $2,531.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.52 / $1,339.37 / $1,888.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.20 / $2,026.02 / $3,131.03