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Nebraska rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.35 / $422.44 / $2,244.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,578.27 / $7,559.99 / $14,192.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.27 / $676.66 / $918.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.97 / $1,066.21 / $1,384.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.44 / $718.15 / $4,217.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.77 / $1,064.35 / $3,962.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.97 / $1,066.21 / $2,163.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.72 / $1,010.90 / $1,304.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $788.20 / $1,157.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.39 / $5,356.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.46 / $1,011.16 / $1,225.22