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Georgia 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
$1,575.00 / $4,368.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.33 / $5,799.60 / $13,137.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,037.66 / $6,037.66 / $6,037.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.88 / $1,193.24 / $2,318.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00