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Montana rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Facilitymedian $71 · 10th–90th $45–$2090%20%10th90th$71Professionalmedian $60 · 10th–90th $23–$1480%10%20%10th90th$60$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $60.26 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $75.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $138.04
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $138.04
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $54.95 / $87.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $75.86 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $31.62 / $47.86