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Minnesota rates for HCPCS A4561

Pessary, reusable, rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.26 / $18.26 / $18.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $16.23 / $22.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $30.57 / $40.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $27.78 / $28.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.53 / $101.53 / $244.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.38 / $35.38 / $42.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.21 / $84.37 / $192.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.38 / $33.38 / $34.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.48 / $28.64 / $122.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $14.15 / $31.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $14.22 / $28.98