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Arizona rates for HCPCS C1815

Prothesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,911.68 / $36,093.81 / $36,093.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $4,856.00 / $4,916.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.21 / $3,430.14 / $6,085.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.66 / $930.21 / $1,267.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $5,341.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.46 / $2,453.46 / $2,453.46