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Maryland rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.01 / $492.50 / $2,244.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.25 / $476.77 / $544.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.40 / $1,267.40 / $1,267.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.01 / $604.42 / $1,373.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.50 / $635.08 / $1,015.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.47 / $542.25 / $1,076.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.77 / $549.13 / $681.65