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Michigan rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $16,982.44 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $7,943.28 / $7,943.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $16,982.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $7,943.28 / $7,943.28