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West Virginia rates for HCPCS 54130

Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.41 / $1,208.41 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.06 / $1,221.84 / $1,355.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.66 / $1,405.42 / $1,531.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.09 / $1,361.09 / $1,361.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.47 / $1,355.47 / $1,355.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.00 / $1,701.36 / $7,359.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.97 / $1,395.77 / $2,123.53