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Maine rates for HCPCS A4561

Pessary, reusable, rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $15.99 / $15.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $12.46 / $12.46
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 / $23.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $22.73 / $22.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $15.99 / $31.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $13.91 / $31.99