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California rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,606.93 / $17,782.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,630.78 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,454.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,380.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $28,840.32 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $10,000.00 / $20,892.96