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Idaho rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,124.68 / $7,124.68 / $7,124.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,124.68 / $7,961.62 / $7,961.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $7,961.62 / $7,961.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00