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Idaho rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,011.87 / $9,120.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $4,466.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $7,762.47 / $11,220.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01