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Wisconsin rates for HCPCS A4561

Pessary, reusable, rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.63 / $16.63 / $157.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $18.22 / $59.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.64 / $31.50 / $52.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $26.64 / $35.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.60 / $61.29 / $61.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.00 / $89.51 / $137.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $47.70 / $54.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.23 / $24.78 / $32.94
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $27.87 / $34.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.24 / $29.93 / $122.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.74 / $15.16 / $33.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.51 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.23 / $24.95 / $32.94
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $27.87 / $34.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $44.07 / $76.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.94 / $55.94 / $122.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $35.72 / $150.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $28.64 / $28.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $28.64 / $28.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $14.29 / $27.38