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New York rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $63.10 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $66.07 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.92 / $89.13
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $57.54 / $57.54
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $104.71 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $81.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $83.18 / $213.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $83.18 / $138.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $57.54 / $57.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $67.61 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $35.48 / $61.66
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $46.77
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $57.54