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Utah rates for HCPCS 54135

Amputation Penis Radical W/Lymph Nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,028.56 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.14 / $2,028.56 / $3,018.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.02 / $2,139.85 / $2,806.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.29 / $1,074.95 / $1,430.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.21 / $2,280.09 / $2,664.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.44 / $1,898.16 / $3,240.85