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New Jersey rates for HCPCS A4356

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

Facilitymedian $31 · 10th–90th $21$380%50%10th90th$31Professionalmedian $36 · 10th–90th $21$500%10%20%10th90th$36$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $33.11 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $38.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $51.29 / $79.43
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $28.84 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $61.66