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South Carolina rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $912.01 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $4,897.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,511.89 / $5,128.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20