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Arizona rates for HCPCS 54112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,897.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,805.45 / $8,805.45 / $8,805.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.66 / $1,295.05 / $7,168.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00