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Oregon rates for HCPCS 54120

Amputation Penis Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.40 / $5,649.00 / $15,341.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.27 / $1,454.87 / $1,638.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.01 / $1,343.43 / $1,924.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.21 / $1,188.79 / $1,270.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.01 / $1,522.22 / $3,274.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,508.06 / $11,474.33 / $13,050.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00