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Nebraska rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,943.28 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,949.84 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $8,128.31 / $14,791.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $5,248.07