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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
$575.44 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $870.96 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $676.08