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Indiana 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
$1,096.48 / $4,897.79 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $35,481.34 / $52,480.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $933.25 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,513.56 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,549.93 / $16,595.87