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Hawaii rates for HCPCS L7900

Male Vacuum Erection System (Rvsd 1/01/03)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.51 / $227.51 / $227.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.84 / $506.84 / $506.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.07 / $409.07 / $409.07
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.84 / $530.72 / $530.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.38 / $444.63 / $506.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.60 / $398.60 / $398.60