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Louisiana 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
$580.00 / $1,520.00 / $3,728.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,251.77 / $9,930.01 / $19,194.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00