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Utah rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.40 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.96 / $1,598.40 / $2,384.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.75 / $1,683.40 / $2,221.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $857.55 / $1,141.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.65 / $1,796.27 / $2,100.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.18 / $1,379.20 / $2,481.13