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Virginia 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
$1,071.52 / $3,630.78 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $14,791.08 / $15,848.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $2,511.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $2,187.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,318.26 / $1,995.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,748.98 / $23,988.33