go back

Tennessee rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.99 / $129.47 / $129.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.99 / $136.50 / $236.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.39 / $469.67 / $521.85
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.21 / $1,467.61 / $1,467.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,871.49 / $1,871.49 / $2,262.98
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 / $258.98 / $434.20