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Idaho rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.96 / $1,683.90 / $2,384.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.10 / $2,050.55 / $2,289.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.62 / $2,072.29 / $2,608.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.50 / $2,023.11 / $2,312.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,668.62 / $2,099.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.85 / $1,816.85 / $2,232.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.65 / $1,711.50 / $2,474.50