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Louisiana rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.65 / $610.48 / $682.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,297.79 / $3,975.33 / $5,760.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.76 / $653.07 / $794.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.33 / $583.71 / $753.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.55 / $563.60 / $938.10