go back

South Dakota rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,961.62 / $7,961.62 / $7,961.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,124.68 / $7,961.62 / $7,961.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,124.68 / $12,040.71 / $19,521.62