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Alaska rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,543.11 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,276.04 / $6,680.39 / $7,787.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,125.64 / $4,125.64 / $4,125.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.95 / $6,680.39 / $9,552.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.15 / $7,505.40 / $9,842.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,467.50 / $5,182.30 / $7,609.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.95 / $6,680.39 / $9,552.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.65 / $5,169.00 / $7,702.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.21 / $3,313.70 / $10,739.41