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Massachusetts rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.23 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.23 / $1,398.09 / $2,945.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,845.93 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.54 / $2,339.67 / $10,316.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.53 / $2,374.19 / $4,352.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,872.65 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.84 / $1,345.87 / $2,169.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.91 / $2,902.06 / $3,684.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,671.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.08 / $2,625.75 / $10,316.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.17 / $1,867.34 / $3,966.84