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Montana rates for HCPCS 54112

Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.61 / $1,469.61 / $1,469.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.01 / $1,756.95 / $1,798.20