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Georgia rates for HCPCS A4561

Pessary Reusable Rubber Any Type (Desc Rsvd 4/1/2024)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.22 / $18.22 / $18.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $18.22 / $27.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $23.92 / $52.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $24.45 / $53.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $24.45 / $24.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.71 / $33.71 / $33.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $34.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $28.76 / $37.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $13.76 / $23.68