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North Carolina rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,398.83 / $7,762.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $9,549.93 / $14,454.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $28,840.32