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New York rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Facilitymedian $4,898 · 10th–90th $1,622$11,4820%10%10th90th$4,898Professionalmedian $1,445 · 10th–90th $1,047$3,3110%20%10th90th$1,445$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,162.28 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,513.56 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,754.40 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,230.27 / $3,019.95
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $4,786.30 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $2,089.30 / $5,370.32
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,548.82 / $4,073.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,513.56 / $2,238.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,584.89 / $2,511.89
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,584.89 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,073.80 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,548.82 / $3,801.89
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,584.89 / $3,981.07
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,584.89 / $3,801.89