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Utah rates for HCPCS L7902

Tension ring, for vacuum erection device, any type, replacement only, each

Facilitymedian $8 · 10th–90th $8–$130%50%90th$8Professionalmedian $14 · 10th–90th $8–$190%20%40%10th90th$14$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $14.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $44.67 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $12.88 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.77 / $15.85