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Washington rates for HCPCS A4561

Pessary, reusable, rubber, any type

Facilitymedian $28 · 10th–90th $16–$590%10%10th90th$28Professionalmedian $20 · 10th–90th $9–$650%5%10th90th$20$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $64.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $17.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $33.11 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $38.02 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.18 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $26.92 / $28.18
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $44.67 / $60.26
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $24.55
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $23.99 / $42.66