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Indiana 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
$418.69 / $709.89 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.69 / $449.16 / $558.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.31 / $490.96 / $723.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.55 / $509.24 / $587.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.05 / $504.06 / $630.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.75 / $1,610.75 / $1,610.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.63 / $559.34 / $934.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.58 / $5,174.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.82 / $508.95 / $901.05