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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
$9.69 / $9.69 / $9.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $9.69 / $14.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.37 / $90.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $15.36 / $17.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.46 / $209.46 / $622.10
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 / $14.21 / $21.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.09 / $17.09 / $17.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $13.75 / $17.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $13.75 / $17.62