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Rhode Island rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.23 / $1,330.70 / $1,578.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.48 / $1,468.80 / $2,333.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,598.00 / $2,468.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.65 / $1,706.49 / $2,585.52