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Minnesota rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Facilitymedian $155 · 10th–90th $45–$5250%10%10th90th$155Professionalmedian $71 · 10th–90th $39–$1050%20%10th90th$71$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $53.70 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $83.18 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $91.20 / $104.71
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $524.81
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $89.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $70.79 / $309.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $31.62 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $37.15 / $100.00