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Iowa rates for HCPCS 54120

Amputation Penis Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,235.59 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.91 / $956.53 / $1,696.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,677.79 / $9,388.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.00 / $1,932.36 / $3,170.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00