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Massachusetts rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.06 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.04 / $500.68 / $1,051.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.97 / $3,764.00 / $12,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.20 / $946.16 / $4,093.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.40 / $652.12 / $1,152.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.29 / $893.67 / $1,716.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.09 / $916.08 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.93 / $527.49 / $850.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.02 / $1,067.46 / $1,443.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,249.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.29 / $1,340.45 / $4,093.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.05 / $846.11 / $1,637.13