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New Hampshire rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.13 / $364.13 / $436.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.91 / $282.55 / $364.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.66 / $335.15 / $335.15
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 / $409.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.04 / $498.04 / $1,537.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $180.50 / $434.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.69 / $511.16 / $650.57