go back

Alaska rates for HCPCS A4360

Disposable external urethral clamp or compression device, with pad and/or pouch, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.84 / $1.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.86 / $0.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.84 / $1.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.68 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.46 / $2.19