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Arizona rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,715.35 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,778.28 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,023.29 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,073.80 / $7,244.36