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Minnesota rates for HCPCS A4562

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.37 / $45.37 / $45.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $38.97 / $147.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $75.94 / $100.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $69.02 / $71.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.91 / $219.32 / $609.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $87.45 / $104.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.21 / $210.43 / $479.65
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $82.50 / $84.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.46 / $71.15 / $305.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.13 / $35.40 / $92.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.13 / $35.19 / $72.11