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New York 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
$529.59 / $2,792.00 / $7,521.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.90 / $563.88 / $831.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.34 / $438.59 / $1,101.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.61 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.61 / $600.61 / $644.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.09 / $728.09 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.13 / $755.25 / $1,671.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $440.00 / $1,104.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.89 / $626.42 / $937.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.98 / $522.12 / $841.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $728.09 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.52 / $773.34 / $1,636.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.77 / $566.85 / $1,261.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.11 / $572.11 / $1,296.14
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.98 / $572.11 / $974.44