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South Carolina 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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.13 / $14.45
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $26.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $14.45 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.96 / $15.85