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Pennsylvania rates for HCPCS C1813

Prosthesis, penile, inflatable

Facilitymedian $12,023 · 10th–90th $2,291$23,4420%20%10th90th$12,023Professionalmedian $7,943 · 10th–90th $3,802$7,9430%50%10th$7,943$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $12,022.64 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $7,943.28 / $7,943.28
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $109,647.82 / $144,543.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,148.15 / $12,589.25
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $66,069.34 / $114,815.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $11,481.54 / $23,442.29
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $7,943.28 / $7,943.28
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60