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Texas rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,162.28 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $4,897.79 / $9,772.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $28,840.32 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $4,365.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78