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Massachusetts rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $47.86 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $64.57 / $151.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $67.61 / $331.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $53.70 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $58.88 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $54.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $93.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $67.61 / $331.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $57.54 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $28.84 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $39.81 / $66.07