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Louisiana rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $53.70 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $107.15 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $30.20 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $33.11 / $45.71