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North Carolina rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $66.07 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $79.43 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $70.79 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $54.95 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $83.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $35.48 / $46.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $63.10 / $104.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $31.62 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $34.67 / $51.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $524.81