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Idaho rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $7,943.28 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $6,918.31 / $7,585.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $7,943.28 / $9,549.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $7,943.28 / $7,943.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62