go back

Kentucky rates for HCPCS A4563

Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.38 / $851.46 / $977.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.38 / $977.60 / $1,411.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.60 / $1,656.60 / $1,656.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $77.00 / $114.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.45 / $2,306.67 / $2,653.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.77 / $2,059.54 / $2,733.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $1,941.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $7,903.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.23 / $128.34 / $2,153.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.38 / $77.33 / $129.50