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Nebraska rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.83 / $165.83 / $165.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.83 / $165.83 / $165.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.19 / $237.81 / $240.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.07 / $409.07 / $409.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.05 / $424.88 / $669.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.83 / $319.64 / $1,416.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.98 / $262.44 / $444.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.88 / $424.88 / $669.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.88 / $491.23 / $796.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.98 / $230.98 / $444.63