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Utah rates for HCPCS C1815

Prothesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,916.51 / $4,916.51 / $4,916.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $4,916.51 / $4,916.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00