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Illinois rates for HCPCS 54120

Amputation Penis Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.00 / $1,835.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,134.57 / $7,161.86 / $16,660.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.48 / $1,052.71 / $2,869.34
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
$1,152.00 / $5,000.00 / $8,995.00