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Arizona rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.20 / $471.26 / $2,244.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.49 / $429.98 / $500.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.21 / $2,214.21 / $2,214.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.20 / $525.60 / $948.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.20 / $550.54 / $3,533.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.09 / $588.60 / $3,962.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,132.00 / $5,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.48 / $497.04 / $890.87