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Washington rates for HCPCS A4562

Pessary, reusable, non rubber, any type

Facilitymedian $69 · 10th–90th $39$1410%20%10th90th$69Professionalmedian $63 · 10th–90th $24$1510%10%10th90th$63$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
$38.90 / $64.57 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $61.66 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $112.20 / $125.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $44.67
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $83.18 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $154.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $69.18 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $69.18 / $70.79
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $77.62 / $112.20
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $60.26 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $37.15 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $107.15