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Utah rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $24,547.09 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $7,943.28 / $7,943.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67