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New Mexico rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $12,589.25 / $19,952.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $9,120.11 / $15,488.17