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Indiana rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $75.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $30.90 / $57.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $89.13 / $107.15
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 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $37.15 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $34.67 / $50.12