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Arizona rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $23,988.33 / $27,542.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $7,943.28 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $17,378.01 / $36,307.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $8,709.64 / $16,595.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,762.47 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89