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Alaska rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,549.93 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $4,897.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,548.13 / $5,011.87