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Indiana rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.48 / $123.48 / $123.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.30 / $123.48 / $148.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.15 / $335.15 / $646.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.42 / $335.15 / $452.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.59 / $816.37 / $816.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.07 / $409.07 / $409.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.71 / $409.07 / $442.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.49 / $230.51 / $423.81