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Nebraska 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
$977.24 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $2,344.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $7,244.36 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $676.08 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,000.00 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $741.31 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $933.25 / $3,981.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,047.13 / $1,380.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,023.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $870.96 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,365.16 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,071.52