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Minnesota 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
$841.33 / $841.33 / $3,638.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,458.68 / $16,903.11 / $34,058.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.53 / $3,191.53 / $7,677.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.52 / $2,917.82 / $6,045.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.05 / $1,872.54 / $10,493.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00