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Idaho rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.96 / $234.96 / $234.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.09 / $233.09 / $263.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.17 / $409.07 / $409.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.71 / $347.71 / $409.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.27 / $233.09 / $453.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.45 / $532.60 / $623.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.20 / $291.20 / $291.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.23 / $266.77 / $444.63