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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
$1,202.26 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $3,715.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,754.23 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,187.76 / $4,168.69
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,778.28 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,230.27 / $1,819.70
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,949.84 / $2,884.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,754.23 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,862.09 / $3,548.13