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Oregon rates for HCPCS A4561

Pessary Reusable Rubber Any Type (Desc Rsvd 4/1/2024)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $15.80 / $65.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $23.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $53.98 / $65.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.43 / $24.43 / $28.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $25.08 / $27.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.08 / $27.87 / $31.76
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $24.37 / $24.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.21 / $21.46 / $28.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $24.41 / $30.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.97 / $30.66 / $30.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $12.74 / $24.30