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Montana 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
$14.37 / $14.37 / $14.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $9.69 / $16.17