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California rates for HCPCS A4561

Pessary, reusable, rubber, any type

Facilitymedian $12 · 10th–90th $9$350%20%10th90th$12Professionalmedian $20 · 10th–90th $9$650%10%10th90th$20$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.95 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $34.67
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $51.29 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $18.62 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $18.62
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $31.62 / $38.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $28.18 / $46.77
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $208.93 / $208.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $26.30 / $37.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $26.92
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $11.48 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.13 / $30.20