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New Hampshire rates for HCPCS A4562

Pessary Reusable Non Rubber Any Type (Desc Rsvd 4/1/2024)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.47 / $36.47 / $43.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $36.47 / $191.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $26.40 / $31.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.91 / $44.91 / $44.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $38.17 / $57.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.59 / $56.59 / $174.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.08 / $34.63 / $41.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $54.52 / $82.34