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Mississippi rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,320.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.68 / $2,172.17 / $3,067.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.00 / $2,364.00 / $2,364.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.83 / $1,997.54 / $2,608.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,223.00 / $4,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.60 / $1,665.56 / $2,927.41