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Hawaii rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $44.67 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $57.54 / $57.54
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $37.15 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $40.74 / $70.79