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New Jersey rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.90 / $4,118.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.47 / $456.26 / $724.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $661.53 / $1,355.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.89 / $722.87 / $853.67
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,296.41 / $7,911.28 / $13,270.03
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.56 / $510.31 / $799.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.62 / $472.05 / $1,041.35