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Utah 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
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $39.81 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $44.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $46.77 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $45.71 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $63.10 / $64.57
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $64.57 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $24.55 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $26.92 / $38.90