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West 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
$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