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Pessary, Reusable, Non Rubber

South Dakota rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Non Rubber cost?

$83.18

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $83.18 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 8 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$83.18$48.98 to $102
FacilityA hospital or hospital-owned outpatient department$83.18$70.79 to $302

How much rates vary

Facilitymedian $83 · 10th to 90th $48 to $427Professionalmedian $83 · 10th to 90th $37 to $110
$20$50$100$200facility $83professional $83

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$89.13
Typical High
$109.65
Avera
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$48.98
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$77.62
Midlands
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$128.82
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$37.15
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$83.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54

Where South Dakota sits

The same service costs 2.2 times more in South Dakota 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.

South Dakota· 1st of 51

$83.18

SD $83.18CO $38.02

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.