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Kansas rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.05 / $560.97 / $859.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.86 / $660.58 / $702.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.32 / $639.94 / $893.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.45 / $730.63 / $5,328.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.44 / $669.07 / $3,962.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.00 / $2,281.10 / $4,710.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.37 / $533.19 / $977.17