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Maine rates for HCPCS A4562

Pessary Reusable Non Rubber Any Type (Desc Rsvd 4/1/2024)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $39.82 / $39.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $31.06 / $31.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.40 / $39.69 / $44.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $38.17 / $57.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.59 / $56.59 / $56.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $39.82 / $77.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.08 / $34.63 / $79.63