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Minnesota rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $33,113.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $7,943.28 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,943.28 / $19,498.45