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North Carolina rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.05 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.05 / $1,164.05 / $2,095.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.44 / $2,076.64 / $3,033.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.86 / $1,980.94 / $3,196.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.05 / $1,633.42 / $2,948.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.42 / $1,633.42 / $2,947.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,995.40 / $2,950.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.92 / $1,674.62 / $3,547.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,671.65 / $9,498.16
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,316.00 / $10,316.00 / $10,316.00