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Tennessee 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 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $57.54
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $38.90 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $33.88 / $43.65