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Wisconsin rates for HCPCS C1813

Prosthesis, penile, inflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $16,982.44 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $7,943.28 / $7,943.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $12,302.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $7,943.28 / $12,302.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $5,888.44