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Wisconsin 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 / $14.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $15.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $65.00 / $90.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $21.75 / $27.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $14.37 / $25.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $25.87 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.42 / $19.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $14.37 / $25.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $65.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $14.21 / $14.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $12.94 / $18.64