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Oklahoma 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
$1,023.29 / $2,630.27 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $9,549.93 / $15,488.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,981.07 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $6,025.60 / $10,715.19