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Maryland 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
$8,203.21 / $8,203.21 / $8,203.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.18 / $5,040.18 / $5,040.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.76 / $1,283.13 / $2,047.34