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Alaska rates for HCPCS 54135

Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $11,748.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $10,471.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $8,709.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $8,511.38 / $12,022.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,445.44 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,168.69 / $12,882.50