go back

New Hampshire rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,843.17 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.23 / $2,067.21 / $4,843.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $9,734.34 / $16,970.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.64 / $2,258.56 / $3,500.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.85 / $2,447.65 / $3,909.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.45 / $2,625.46 / $4,359.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.80 / $2,358.65 / $4,099.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.88 / $1,027.27 / $1,307.43