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Utah rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $6,024.61 / $24,270.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,024.61 / $6,024.61 / $7,961.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00