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Alaska rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $47.86 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $46.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $74.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $67.61 / $85.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $100.00 / $100.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $72.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $51.29 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $81.28 / $147.91