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Virginia rates for HCPCS C1813

Prosthesis, penile, inflatab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $14,171.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,961.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $11.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $5,749.33 / $8,996.62
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.00 / $1,291.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.00 / $1,291.00 / $4,071.00