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Pennsylvania rates for HCPCS C1815

Prothesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $41,037.56 / $41,037.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $4,856.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,657.67 / $6,428.80 / $7,326.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.65 / $14,039.92 / $41,037.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $4,856.00