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Indiana rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.76 / $1,399.93 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.60 / $1,166.76 / $1,555.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.72 / $1,459.66 / $2,072.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.34 / $1,408.78 / $1,625.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.68 / $1,300.42 / $1,625.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.56 / $1,514.85 / $2,691.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.72 / $1,436.70 / $2,340.63