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Oklahoma rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $57.54 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $77.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $47.86 / $218.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $35.48 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $41.69 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $45.71