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Pessary, Reusable, Rubber

New Jersey rates for HCPCS A4561

Pessary, reusable, rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Rubber cost?

$16.98

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $13.49 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 5 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$16.98$12.59 to $18.62
FacilityA hospital or hospital-owned outpatient department$13.49$13.49 to $14.79

How much rates vary

Facilitymedian $13 · 10th to 90th $13 to $28Professionalmedian $17 · 10th to 90th $9 to $26
$10$20$50$100facility $13professional $17

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
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$16.60
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$37.15
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$16.98
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.22
Typical High
$28.18

Where New Jersey 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.

New Jersey· 43rd of 51

$16.98

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.