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Pessary, Reusable, Non Rubber

Utah rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Non Rubber cost?

$66.07

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $48.98 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 7 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$66.07$28.84 to $93.33
FacilityA hospital or hospital-owned outpatient department$48.98$20.42 to $81.28

How much rates vary

Facilitymedian $49 · 10th to 90th $20 to $155Professionalmedian $66 · 10th to 90th $23 to $158
$20$50$100$200facility $49professional $66

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$48.98
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$69.18
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$57.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$67.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$70.79
Typical High
$74.13
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$31.62
Typical High
$50.12

Where Utah 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.

Utah· 6th of 51

$66.07

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.