go back

Tennessee rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $11,220.18 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $7,943.28 / $7,943.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $5,888.44 / $5,888.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07