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Mississippi rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.65 / $935.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.55 / $771.25 / $1,163.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.64 / $1,292.64 / $1,292.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.39 / $1,243.39 / $2,844.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.35 / $742.54 / $975.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $2,074.64 / $6,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.09 / $566.46 / $1,178.08