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South Dakota rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $33,113.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,943.28 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $13,489.63 / $15,848.93