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Pennsylvania rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.15 / $1,206.26 / $1,513.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.45 / $1,235.38 / $1,235.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.95 / $1,536.36 / $2,421.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.38 / $1,831.45 / $1,836.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.58 / $1,217.03 / $3,062.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,557.80 / $2,950.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.26 / $1,552.81 / $2,476.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.26 / $1,157.26 / $1,471.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.58 / $1,163.56 / $1,471.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.29 / $1,460.14 / $2,415.65