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West Virginia rates for HCPCS L7900

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.02 / $133.02 / $133.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.02 / $145.58 / $195.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.13 / $367.37 / $367.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.67 / $395.63 / $395.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.07 / $409.07 / $429.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.71 / $409.07 / $1,247.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.88 / $318.88 / $318.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.46 / $348.95 / $465.26