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Pessary, Reusable, Rubber

Ohio rates for HCPCS A4561

Pessary, reusable, rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Rubber cost?

$18.20

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $81.28 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$16.98$12.59 to $23.44
FacilityA hospital or hospital-owned outpatient department$81.28$23.99 to $85.11

How much rates vary

Facilitymedian $81 · 10th to 90th $18 to $85Professionalmedian $17 · 10th to 90th $12 to $46
$10$20$50$100$200facility $81professional $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
$18.20
Median
$81.28
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$18.20
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$37.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$24.55
Typical High
$34.67
CareSource
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.70
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$16.98
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.75
Typical High
$16.98
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$15.49
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.80
Typical High
$19.95

Where Ohio 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.

Ohio· 33rd of 51

$18.20

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.