go back

Oregon rates for HCPCS A4562

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $50.00 / $157.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.59 / $134.22 / $164.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.37 / $60.83 / $72.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.61 / $62.48 / $69.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.48 / $69.42 / $79.09
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.65 / $60.65 / $60.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.78 / $53.07 / $69.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $60.78 / $78.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.70 / $76.36 / $76.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $31.70 / $60.48