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Illinois 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
$16.07 / $77.12 / $161.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $16.07 / $27.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.97 / $72.36 / $251.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $21.48 / $21.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $31.30 / $31.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $33.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.45 / $57.13 / $80.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.22 / $37.22 / $37.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $35.79 / $42.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $14.29 / $25.30