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New Mexico 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
$1,000.00 / $5,000.27 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.05 / $11,775.43 / $18,880.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.50 / $1,242.81 / $1,449.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00