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Tennessee 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
$465.00 / $2,133.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.90 / $540.08 / $662.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,549.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.42 / $552.64 / $928.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.28 / $613.90 / $956.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.24 / $2,147.29 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,133.76 / $3,857.48 / $4,093.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,612.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.20 / $621.58 / $1,031.96