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Missouri rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $18,733.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $2,398.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $4,987.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,342.05 / $7,342.05 / $7,342.05