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Rhode Island rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $70.79 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $138.04 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $36.31 / $74.13
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 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.90 / $57.54