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Idaho rates for HCPCS L7902

Tension Ring For Vacuum Erection Device Any Type Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.00 / $43.00 / $43.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $14.37 / $43.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $12.08 / $14.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $14.37 / $18.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $9.69 / $18.18