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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.92 / $1,540.22 / $1,540.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.90 / $1,845.39 / $1,853.94
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,163.73 / $2,431.02 / $2,868.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.94 / $1,771.57 / $2,066.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.39 / $1,845.39 / $2,406.94
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,334.05 / $1,995.66