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Minnesota rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.10 / $243.10 / $243.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.28 / $243.10 / $252.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.80 / $604.66 / $804.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.10 / $503.88 / $503.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.07 / $1,874.60 / $5,206.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.88 / $644.35 / $772.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.93 / $1,798.59 / $4,099.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.88 / $607.88 / $724.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.27 / $410.84 / $1,416.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.49 / $175.02 / $413.94
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 / $173.23 / $389.43