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Virginia rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $2,398.83 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $4,897.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,454.71 / $4,786.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $1,288.25 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $1,288.25 / $4,073.80