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Washington, DC rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.95 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.50 / $492.50 / $531.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.25 / $485.00 / $3,307.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.22 / $570.86 / $1,457.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.33 / $1,048.97 / $1,048.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.95 / $668.54 / $1,363.14