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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.80 / $653.20 / $911.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.78 / $729.32 / $814.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.02 / $782.95 / $1,089.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.62 / $741.33 / $898.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $645.79 / $812.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,236.64 / $6,572.09 / $8,615.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.28 / $706.38 / $857.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.64 / $587.01 / $928.68