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Tennessee rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $3,322.99 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.75 / $1,490.13 / $1,738.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,345.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.08 / $1,516.05 / $2,456.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.73 / $1,668.49 / $2,623.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,498.16 / $9,712.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,316.00 / $10,316.00 / $10,316.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.73 / $1,800.68 / $2,673.79