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Massachusetts 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
$12.18 / $12.18 / $12.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $13.62 / $27.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.75 / $65.00 / $132.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $19.63 / $27.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.59 / $35.99 / $46.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.23 / $24.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.22 / $14.90 / $21.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $33.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $22.73 / $23.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.73 / $12.73 / $16.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $132.38 / $132.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $13.91 / $37.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $14.90 / $27.87