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Arizona rates for HCPCS 54115

Removal foreign body from deep penile tissue (eg, plastic implant)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $524.81 / $1,202.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,318.26 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $602.56 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $851.14