go back

Maine rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $40.74 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $57.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $72.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $51.29 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $36.31 / $67.61