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Missouri rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.88 / $185.55 / $444.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.88 / $145.62 / $194.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.14 / $335.15 / $421.07
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 / $347.71 / $421.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.08 / $370.81 / $1,416.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.46 / $230.65 / $493.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.79 / $181.66 / $438.69