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Oregon 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
$645.65 / $1,096.48 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $977.24 / $1,348.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,148.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $776.25 / $1,318.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,174.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $870.96 / $933.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $891.25 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,912.51 / $10,715.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $9,549.93 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,230.27