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New Hampshire 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
$100.00 / $1,697.19 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.04 / $735.33 / $1,697.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.29 / $722.32 / $1,038.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.98 / $951.43 / $1,519.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.35 / $979.94 / $1,694.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.60 / $841.56 / $1,563.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.68 / $426.82 / $632.36