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Utah rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.61 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.61 / $600.51 / $851.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.55 / $624.47 / $857.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.14 / $330.03 / $452.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,952.73 / $5,387.63 / $7,851.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.64 / $667.71 / $759.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.64 / $523.60 / $941.76