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West Virginia rates for HCPCS 54115

Removal Foreign Body Deep Penile Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.95 / $456.39 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.43 / $456.39 / $513.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.07 / $501.17 / $546.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.36 / $485.36 / $485.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.09 / $728.09 / $728.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.01 / $645.59 / $2,017.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.23 / $559.73 / $827.89