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Nebraska rates for HCPCS A4561

Pessary, reusable, rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.56 / $23.56 / $23.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.87 / $23.56 / $54.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $27.50 / $27.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $31.30 / $31.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.45 / $33.38 / $48.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $28.64 / $122.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $14.19 / $23.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.21 / $31.30 / $39.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $36.99 / $64.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $14.19 / $19.98