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New York rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,801.89 / $9,120.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,659.59 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $724.44 / $2,041.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,128.61 / $11,481.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $851.14 / $2,089.30