go back

Utah rates for HCPCS A4562

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.46 / $49.42 / $242.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.83 / $74.00 / $191.25
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 / $44.91 / $82.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.04 / $52.49 / $68.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $50.33 / $75.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $31.70 / $45.47