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Pessary, Reusable, Rubber

Montana rates for HCPCS A4561

Pessary, reusable, rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Rubber cost?

$23.44

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $28.18 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 6 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$22.39$9.77 to $28.18
FacilityA hospital or hospital-owned outpatient department$28.18$23.99 to $35.48

How much rates vary

Facilitymedian $28 · 10th to 90th $20 to $85Professionalmedian $22 · 10th to 90th $9 to $65
$10$100$1K$10K$100Kfacility $28professional $22

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
$8.91
Median
$10.47
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$30.20
Typical High
$30.20
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$54.95
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$54.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$28.18
Typical High
$37.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.88
Typical High
$19.05

Where Montana 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.

Montana· 15th of 51

$23.44

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.