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Pennsylvania rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.38 / $152.91 / $591.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.97 / $145.58 / $242.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.46 / $518.13 / $518.13
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.79 / $484.55 / $920.65
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.50 / $262.50 / $262.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.91 / $152.91 / $591.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.97 / $145.58 / $242.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.30 / $234.40 / $882.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.07 / $409.07 / $409.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.71 / $347.71 / $607.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.62 / $442.62 / $442.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.62 / $442.62 / $442.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.78 / $270.52 / $444.63