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Illinois rates for HCPCS C1815

Prothesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $2,445.96 / $16,266.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $4,856.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00