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California rates for HCPCS A4360

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

Facilitymedian $0 · 10th–90th $0–$10%20%10th90th$0Professionalmedian $1 · 10th–90th $0–$30%20%10th90th$1$0.2$1.0$5.0$20.0$100.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.95 / $2.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.26 / $0.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.91
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.95 / $1.45
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.26 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.78 / $0.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.95 / $2.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.47 / $4.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.71 / $0.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.31 / $0.71