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Vermont rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.76 / $1,502.76 / $6,276.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.00 / $1,968.87 / $4,209.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.55 / $1,968.87 / $4,209.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.47 / $1,692.40 / $5,167.26