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Virginia rates for HCPCS 54120

Amputation of penis; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $3,630.78 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $1,737.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,479.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,348.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $851.14 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61