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California 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
$2,134.00 / $6,218.00 / $17,809.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,537.00 / $10,000.00 / $20,418.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,506.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,038.17 / $7,136.02 / $16,811.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.18 / $1,044.92 / $1,551.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.10 / $1,201.70 / $2,160.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,451.24 / $16,394.00 / $27,110.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.09 / $1,293.59 / $1,851.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,835.00 / $12,434.00 / $26,672.00