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Illinois 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
$39.95 / $91.23 / $297.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $39.95 / $93.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.27 / $179.73 / $623.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $53.36 / $53.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.91 / $44.91 / $77.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $44.91 / $82.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.59 / $90.01 / $132.85
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.50 / $92.50 / $92.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.94 / $99.61 / $106.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $35.50 / $60.93