go back

Texas 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
$912.01 / $2,951.21 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $12,882.50 / $25,118.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $28,840.32 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,412.54 / $4,365.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $14,454.40