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Pessary, Reusable, Rubber

Pennsylvania 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 Pennsylvania, 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 $26.30 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 9 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$13.80 to $28.18
FacilityA hospital or hospital-owned outpatient department$26.30$13.80 to $112

How much rates vary

Facilitymedian $26 · 10th to 90th $14 to $138Professionalmedian $17 · 10th to 90th $10 to $55
$10$100$1K$10Kfacility $26professional $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
$13.80
Median
$13.80
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.98
Typical High
$54.95
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
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
$12.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$37.15
Typical High
$53.70
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.98
Typical High
$28.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$21.88
Typical High
$112.20
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.98
Typical High
$41.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$100.00
Typical High
$162.18
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.30
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$13.80
Typical High
$30.90

Where Pennsylvania 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.

Pennsylvania· 41st 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.