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Hawaii rates for HCPCS A4561

Pessary, reusable, rubber, any type

Facilitymedian $15 · 10th–90th $10$200%10%20%10th90th$15Professionalmedian $20 · 10th–90th $12$650%10%20%10th90th$20$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $14.79 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $19.50 / $28.84