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Vermont rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $53.70 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
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
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $67.61 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $52.48 / $144.54