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Pennsylvania 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
$13.67 / $13.67 / $101.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $17.07 / $53.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $27.87 / $34.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.71 / $33.71 / $33.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $33.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $27.87 / $52.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $21.70 / $113.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $17.09 / $53.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $11.70 / $54.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.71 / $33.71 / $33.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $33.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.93 / $26.53 / $26.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $26.53 / $27.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $13.91 / $25.14