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Pessary, Reusable, Rubber

Idaho rates for HCPCS A4561

Pessary, reusable, rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Rubber cost?

$21.38

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $25.12 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$12.59 to $31.62
FacilityA hospital or hospital-owned outpatient department$25.12$19.50 to $29.51

How much rates vary

Facilitymedian $25 · 10th to 90th $13 to $42Professionalmedian $21 · 10th to 90th $9 to $38
$10$20$50facility $25professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$19.05
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$23.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$23.99
Typical High
$39.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$26.92
Typical High
$28.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$31.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$39.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.88
Typical High
$18.62

Where Idaho sits

The same service costs 5.1 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 21st of 51

$21.38

HI $64.57CO $12.59

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.