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South Dakota rates for HCPCS C1815

Prothesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $2,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $4,856.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.62 / $8,206.64 / $13,305.44