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New Hampshire rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $57.54 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $53.70 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $44.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $25.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $60.26
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $74.13