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North Dakota 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
$940.89 / $940.89 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.89 / $1,317.08 / $2,822.67