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South Dakota 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 / $43.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $21.75 / $27.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.33 / $72.67 / $117.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $14.58 / $22.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $22.58 / $37.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.13 / $19.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $12.94 / $18.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $18.80