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Michigan rates for HCPCS A4356

External urethral clamp or compression device (not to be used for catheter clamp), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $38.90 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $190.55 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $67.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $34.67 / $74.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $120.23 / $134.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $51.29 / $77.62
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $38.02 / $38.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $34.67 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $24.55 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $30.20 / $45.71