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North Dakota rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $630.96 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,023.29 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,888.44 / $5,888.44