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Connecticut rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.97 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.34 / $1,837.97 / $2,945.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,021.45 / $11,075.34 / $12,977.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.54 / $2,483.14 / $2,997.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.06 / $1,863.21 / $3,756.53
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.67 / $1,965.85 / $1,965.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $6,137.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.65 / $1,797.62 / $3,588.78