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Ohio rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,856.00 / $6,162.00 / $18,243.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $4,856.00 / $4,856.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,965.41 / $5,965.41 / $5,965.41
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,564.26 / $13,564.26 / $13,564.26