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Oklahoma rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.51 / $119.51 / $119.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.51 / $136.59 / $136.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.95 / $468.95 / $468.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.32 / $409.07 / $409.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.71 / $347.71 / $409.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.59 / $186.27 / $1,416.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.49 / $260.77 / $438.89
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 / $229.20 / $413.94