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Ohio 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
$330.00 / $1,045.85 / $1,307.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.67 / $1,045.85 / $1,411.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.34 / $1,758.02 / $2,825.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.47 / $114.17 / $2,138.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.72 / $1,647.63 / $2,224.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.79 / $1,490.94 / $3,527.91
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 / $102.00 / $127.73
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $120.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.38 / $76.64 / $133.22