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Maine rates for HCPCS A4356

External Urethral Clamp Or Compression Device (Not To Be Used For Catheter Clamp) Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $31.08 / $31.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.15 / $27.15 / $27.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.07 / $38.29 / $42.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $32.54 / $45.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.19 / $44.19 / $44.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.48 / $31.08 / $31.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.83 / $27.03 / $62.16