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Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.69 / $1,628.10 / $2,051.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,480.23 / $22,875.82 / $28,539.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00