go back

Massachusetts rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $12,674.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,961.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $818.35 / $5,913.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,695.06 / $5,695.06 / $9,901.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $5,913.52