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Missouri rates for HCPCS 54115

Removal foreign body from deep penile tissue (eg, plastic implant)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.95 / $2,832.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.52 / $509.56 / $560.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $535.99 / $873.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.50 / $646.13 / $1,026.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.67 / $784.59 / $4,332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.05 / $1,023.07 / $3,962.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $2,307.28 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.00 / $647.36 / $1,404.71