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Arkansas rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.89 / $808.68 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.99 / $555.89 / $611.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,627.26 / $2,627.26 / $3,152.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.86 / $572.90 / $614.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.28 / $1,958.28 / $1,958.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.00 / $725.27 / $854.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.58 / $582.15 / $863.63