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Utah rates for HCPCS A4561

Pessary, reusable, rubber, any type

Facilitymedian $8 · 10th–90th $8$100%50%90th$8Professionalmedian $27 · 10th–90th $9$650%10%10th90th$27$0.2$1.0$5.0$20.0$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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $26.92 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $23.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $28.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $20.42 / $31.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $28.84 / $29.51
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $21.38