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Nebraska rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $75.86 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $83.18 / $123.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $97.72 / $309.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $35.48 / $70.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $97.72 / $177.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $35.48 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $35.48 / $54.95