go back

Maine rates for HCPCS L7902

Tension ring, for vacuum erection device, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $14.37 / $14.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $10.90 / $10.90
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.09 / $17.09 / $17.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $14.37 / $14.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $15.36 / $25.55