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Utah rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Facilitymedian $155 · 10th–90th $20–$2400%10%10th90th$155Professionalmedian $71 · 10th–90th $23–$1580%10%10th90th$71$0.5$2.0$10.0$50.0$200.0

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
$19.95 / $154.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $70.79 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $57.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $52.48 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $72.44 / $74.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $74.13 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $28.84 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $53.70