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New Jersey rates for HCPCS A4561

Pessary, reusable, rubber, any type

Facilitymedian $13 · 10th–90th $10–$200%50%10th90th$13Professionalmedian $18 · 10th–90th $9–$540%10%10th90th$18$10.0$20.0$50.0$100.0$200.0

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
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.30 / $38.02
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.49 / $26.92