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Virginia rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $7,943.28 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,943.28 / $12,589.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $1,288.25 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $1,288.25 / $4,073.80