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Rhode Island rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.04 / $475.66 / $599.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $573.21 / $829.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.92 / $633.37 / $941.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.00 / $3,447.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.15 / $649.79 / $1,002.04