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Washington rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.67 / $1,227.20 / $14,464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.25 / $611.67 / $1,186.76
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.24 / $8,052.47 / $15,403.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.12 / $1,068.91 / $3,948.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.80 / $1,708.80 / $2,846.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.36 / $920.83 / $1,385.08
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.61 / $948.30 / $2,421.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.11 / $940.55 / $1,395.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.27 / $395.83 / $1,082.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.21 / $862.99 / $925.27
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.83 / $631.12 / $1,048.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.12 / $994.56 / $1,235.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,221.67 / $8,047.87 / $15,403.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.92 / $884.25 / $1,154.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.00 / $2,548.46 / $10,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.52 / $887.89 / $1,310.19