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New Mexico 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
$448.66 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.14 / $448.66 / $764.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,962.15 / $6,550.83 / $10,503.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.18 / $685.57 / $841.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $394.99 / $710.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.20 / $584.80 / $687.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.91 / $685.57 / $841.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $696.27 / $1,036.48