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Utah rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.27 / $186.27 / $186.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.43 / $186.27 / $233.09
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 / $409.07 / $421.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $534.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.53 / $380.81 / $487.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.20 / $291.20 / $291.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.86 / $173.23 / $412.91