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Pennsylvania rates for HCPCS 54125

Amputation of penis; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.74 / $3,072.74 / $3,072.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,120.00 / $8,017.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.56 / $801.56 / $1,026.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,113.00 / $3,742.00