go back

Ohio rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.84 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.76 / $1,221.84 / $2,146.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $8,450.20 / $15,206.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.55 / $1,279.78 / $2,226.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.47 / $1,351.76 / $1,673.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.11 / $1,239.11 / $1,284.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.61 / $1,578.92 / $2,426.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.47 / $1,706.20 / $2,344.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $1,136.57 / $1,655.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.28 / $1,483.54 / $2,508.89