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Pennsylvania rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Facilitymedian $107 · 10th–90th $34–$2950%10%10th90th$107Professionalmedian $60 · 10th–90th $26–$1410%10%10th90th$60$1.0$10.0$100.0$1.0K$10.0K

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
$33.88 / $107.15 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $61.66 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $43.65
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $93.33 / $134.90
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $50.12 / $70.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $43.65
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $45.71 / $77.62
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $109.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $66.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $66.07 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $33.88 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $70.79