go back

Minnesota rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $58.88 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $83.18 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $269.15 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $93.33 / $104.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $263.03 / $501.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $89.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $70.79 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $31.62 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $35.48 / $89.13