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Maine rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.33 / $234.33 / $282.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.66 / $325.66 / $485.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.32 / $409.07 / $475.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.71 / $347.71 / $409.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.04 / $498.04 / $498.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.33 / $234.33 / $364.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.72 / $222.32 / $444.63