Hodge pessary without support, size 4

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR PESSARY KIT NON-RUBBER

Payers reporting HCPCS A4562

Payer pricing summary

Low

$23

Average

$239

Median

$87

High

$2.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Wellmark case rate · outpatient · +16 other terms	15	$82	$109	$39	36%	55–550	$71 – $177
2	UnitedHealthcare fee schedule · outpatient · +28 other terms	357	$73	$88	$153	175%	29–155	$1 – $3.3k
3	Humana fee schedule · outpatient · +24 other terms	324	$73	$121	$232	192%	22	$1 – $2.6k
4	Ucare professional · fee schedule · outpatient · +12 other terms	16	$75	$73	$9	13%	16–34	$42 – $80
5	Kaiser fee schedule · outpatient · +18 other terms	43	$72	$74	$8	10%	1–10	$51 – $96
6	Aetna fee schedule · outpatient · +23 other terms	293	$73	$108	$263	245%	—	$14 – $2.8k
7	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	205	$73	$126	$181	144%	—	$1 – $1.6k
8	WellCare fee schedule · outpatient · +15 other terms	191	$75	$77	$12	15%	—	$38 – $138
9	Devoted fee schedule · outpatient · +11 other terms	163	$73	$73	$2	2%	—	$70 – $88
10	Cigna Healthspring fee schedule · outpatient · +3 other terms	121	$74	$75	$4	5%	—	$72 – $89
11	Molina fee schedule · outpatient · +20 other terms	109	$80	$97	$39	40%	—	$1 – $191
12	Cigna fee schedule · outpatient · +22 other terms	92	$74	$197	$437	221%	—	$14 – $2.7k
13	Anthem fee schedule · outpatient · +22 other terms	70	$72	$74	$9	12%	—	$37 – $115
14	Superior Healthplan fee schedule · outpatient	40	$77	$77	$0	0%	—	$72 – $77
15	Clover fee schedule · outpatient · +7 other terms	37	$73	$75	$5	7%	—	$69 – $86
16	Caresource fee schedule · outpatient · +14 other terms	33	$73	$88	$28	31%	—	$1 – $122
17	Optum fee schedule · outpatient · +16 other terms	30	$72	$82	$33	40%	—	$70 – $182
18	Medcost facility · percent of total billed charges · bothfrom % of charges · +8 other terms	28	$110	$93	$29	31%	—	$3 – $139
19	Medica fee schedule · outpatient · +17 other terms	25	$115	$110	$38	35%	—	$34 – $182
20	Oscar fee schedule · outpatient · +15 other terms	25	$72	$74	$3	4%	—	$72 – $80
21	Bcbs Tx fee schedule · outpatient · +3 other terms	18	$72	$72	—	—	—	$72 – $72
22	Medicare fee schedule · outpatient · +10 other terms	18	$70	$71	$1	1%	—	$70 – $72
23	MultiPlan fee schedule · outpatient · +17 other terms	18	$126	$1.1k	$1.6k	145%	—	$72 – $3.8k
24	Aetna Better Health fee schedule · outpatient · +8 other terms	16	$59	$68	$74	109%	—	$34 – $352
25	Amerihealth Caritas fee schedule · outpatient · +11 other terms	16	$88	$87	$2	2%	—	$83 – $88

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