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Indiana rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,467.37 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,803.84 / $19,054.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $645.65 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,023.29 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $7,762.47 / $10,964.78