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Montana rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $52.48 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $61.66 / $75.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $70.79 / $138.04
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $138.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $54.95 / $87.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $75.86 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $37.15 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $31.62 / $36.31