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Kansas rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,786.30 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,819.70 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,818.38 / $6,309.57