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Maryland 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
Professional
Modifier
Low / Median / High Price
$1,472.80 / $1,709.55 / $7,944.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.34 / $1,800.06 / $2,090.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.02 / $2,041.06 / $4,668.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.94 / $2,056.10 / $3,289.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.35 / $1,844.28 / $3,734.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.52 / $1,777.83 / $2,211.66