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Massachusetts rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.55 / $282.55 / $282.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.66 / $282.55 / $364.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.16 / $1,212.39 / $1,467.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.50 / $406.16 / $557.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.07 / $396.07 / $1,176.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.11 / $456.61 / $456.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.73 / $409.07 / $453.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.71 / $409.07 / $607.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.04 / $498.04 / $522.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.08 / $1,467.61 / $1,467.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $274.19 / $469.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.54 / $272.11 / $444.63