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Texas rates for HCPCS 54120

Amputation Penis Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.00 / $2,747.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,656.32 / $4,739.10 / $9,190.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.04 / $566.04 / $566.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.10 / $2,376.10 / $2,376.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $16,394.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.75 / $810.88 / $1,397.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.75 / $817.57 / $1,602.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00