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Minnesota rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.65 / $418.16 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.65 / $435.65 / $755.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,677.15 / $7,839.14 / $16,510.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.37 / $1,163.34 / $1,681.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.10 / $1,596.96 / $3,841.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.44 / $1,513.74 / $2,152.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.44 / $1,460.00 / $3,024.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.36 / $1,307.99 / $1,820.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.51 / $805.56 / $4,746.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.16 / $1,263.20 / $3,200.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.21 / $1,372.25 / $1,769.41