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South Dakota rates for HCPCS A4561

Pessary, reusable, rubber, any type

Facilitymedian $21 · 10th–90th $18–$350%20%40%10th90th$21Professionalmedian $21 · 10th–90th $10–$420%20%10th90th$21$10.0$20.0$50.0$100.0

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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $18.20 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $41.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $30.90 / $53.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.50 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $31.62
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $51.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.84 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $33.88
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70