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Massachusetts 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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.13 / $25.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $39.81 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $15.49 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $14.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $25.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $39.81 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.85 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $12.88 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $15.49 / $17.38