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Utah 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
$8.67 / $8.67 / $8.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $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
$12.08 / $14.21 / $21.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $45.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $9.69 / $15.77