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Maine 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
$1,506.89 / $1,506.89 / $2,619.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,065.14 / $15,647.20 / $17,644.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.71 / $2,009.43 / $3,151.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.11 / $2,251.69 / $3,225.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.79 / $2,151.85 / $3,301.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.89 / $1,506.89 / $2,619.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.76 / $2,265.51 / $2,975.36