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Pennsylvania rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $107.15 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $66.07 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $53.70 / $53.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $93.33 / $134.90
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $70.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $100.00 / $295.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $131.83
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $112.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $112.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $66.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $33.88 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $34.67 / $63.10