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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
$1,019.00 / $3,576.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,486.27 / $10,251.95 / $16,323.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.03 / $1,641.04 / $10,198.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,407.00 / $9,232.95