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Maryland rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.05 / $1,355.54 / $6,276.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.57 / $1,426.72 / $1,670.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.26 / $1,598.00 / $3,700.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.99 / $1,629.24 / $2,605.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.52 / $1,360.62 / $2,397.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.17 / $1,408.74 / $1,752.09