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Colorado rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,856.00 / $36,591.04 / $36,591.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.74 / $4,856.00 / $4,856.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $3,642.00 / $5,098.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00