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Missouri rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $7,961.62 / $7,961.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,961.62 / $7,961.62 / $7,961.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $7,961.62 / $15,525.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,256.46 / $5,256.46 / $5,256.46