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California 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
$513.11 / $4,932.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.62 / $474.44 / $2,407.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.00 / $4,814.00 / $10,536.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.72 / $648.17 / $1,300.14
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,804.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.81 / $447.10 / $1,062.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.35 / $1,794.42 / $4,227.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.42 / $560.91 / $1,225.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.58 / $536.99 / $698.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.33 / $574.32 / $1,012.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.24 / $2,147.29 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,133.76 / $3,857.48 / $4,093.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.01 / $590.05 / $849.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.08 / $584.75 / $1,207.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.68 / $1,392.68 / $1,493.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.35 / $480.38 / $596.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.24 / $536.28 / $1,503.18