go back

Illinois rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,128.61 / $14,125.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,047.13 / $2,951.21
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,365.16 / $9,332.54