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Montana rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.01 / $263.01 / $263.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.07 / $409.07 / $428.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.07 / $420.64 / $421.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.27 / $409.07 / $787.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.39 / $420.64 / $504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.86 / $173.23 / $433.08