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Idaho rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $50.12 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $63.10 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $57.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $61.66 / $107.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $67.61 / $81.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $48.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $51.29 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $37.15 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $31.62 / $45.71