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South Carolina rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.40 / $7,961.62 / $9,872.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,124.68 / $7,961.62 / $7,961.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,270.88 / $4,270.88 / $4,270.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,961.62 / $7,961.62 / $10,748.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00