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New Mexico rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.58 / $1,217.03 / $2,012.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.86 / $1,825.90 / $2,242.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $343.48 / $1,853.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.42 / $1,546.90 / $1,843.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.85 / $1,825.90 / $2,242.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.70 / $1,895.31 / $2,720.76