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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
$803.00 / $2,594.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,800.77 / $12,101.90 / $24,445.83
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.60 / $6,216.48 / $11,624.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.41 / $829.41 / $829.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,860.97 / $6,860.97 / $6,860.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $16,394.00 / $27,110.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.04 / $1,212.92 / $2,073.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.04 / $1,229.88 / $2,369.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00