go back

West Virginia rates for HCPCS 54112

Exc Penile Plaque Graft > 5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.97 / $947.97 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.29 / $1,105.01 / $1,203.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.54 / $1,065.54 / $1,065.54