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California rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,918.36 / $9,378.75 / $31,646.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,775.00 / $7,124.68 / $9,378.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.01 / $20.01 / $20.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $5,913.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,256.46 / $5,256.46 / $5,256.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $7,961.62 / $9,378.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,775.00 / $2,250,000.00 / $2,400,000.00