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Minnesota 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
$14.37 / $14.37 / $14.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $14.37 / $14.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $20.72 / $25.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $67.25 / $186.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $23.06 / $27.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.92 / $64.52 / $147.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $21.75 / $26.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $14.37 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $10.81 / $21.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $10.61 / $21.76