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Vermont rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.47 / $570.49 / $2,407.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.47 / $715.89 / $1,637.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.99 / $751.15 / $1,637.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.21 / $694.38 / $2,009.52