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Illinois rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,803.00 / $7,961.62 / $26,773.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,024.61 / $7,961.62 / $7,961.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00