go back

Michigan rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.66 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.76 / $1,513.66 / $1,513.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,609.70 / $6,548.21 / $8,920.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.95 / $1,690.79 / $2,402.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.73 / $1,376.49 / $2,437.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.01 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.01 / $1,344.91 / $1,950.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $1,010.60 / $1,529.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.83 / $1,568.21 / $1,991.32