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Oklahoma 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
$625.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.65 / $537.44 / $574.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.15 / $550.13 / $600.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.21 / $585.01 / $703.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.99 / $678.06 / $4,240.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.85 / $673.46 / $3,962.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,839.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.80 / $517.95 / $743.43