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Massachusetts rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,884.03 / $5,128.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $6,309.57 / $28,840.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,230.27 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $6,456.54 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $11,220.18