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Massachusetts 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
$68.70 / $68.70 / $68.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $68.70 / $1,203.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,344.69 / $7,674.31 / $7,674.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $99.94 / $1,570.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $1,910.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.63 / $123.63 / $129.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,344.69 / $7,674.31 / $7,674.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $91.34 / $1,570.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $99.94 / $1,570.45