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Michigan 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
$1,915.08 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.16 / $1,915.08 / $1,915.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,109.71 / $8,299.17 / $11,305.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.26 / $1,474.52 / $2,920.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.59 / $1,744.18 / $3,083.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.11 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.11 / $1,700.16 / $2,476.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.18 / $1,287.93 / $1,931.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.83 / $2,025.76 / $2,622.13