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Georgia rates for HCPCS A4562

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.29 / $45.29 / $45.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $50.65 / $101.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.13 / $116.13 / $116.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $59.47 / $131.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.01 / $60.80 / $132.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.80 / $60.80 / $60.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.91 / $44.91 / $44.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $38.17 / $82.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.36 / $71.53 / $94.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.79 / $35.19 / $59.47