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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
$4,492.28 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,944.94 / $8,470.04 / $9,896.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,243.32 / $5,243.32 / $5,243.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.55 / $8,470.04 / $12,112.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,648.68 / $9,475.20 / $12,470.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,640.00 / $6,542.40 / $9,644.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.55 / $8,470.04 / $12,112.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.60 / $6,552.00 / $9,758.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,194.66 / $4,211.26 / $10,486.65