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California rates for HCPCS A4360

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.20 / $1.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.32 / $1.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.24 / $0.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.64
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.00 / $1.43
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.73 / $2.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.76 / $0.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.93 / $1.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $3.96 / $4.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.69 / $0.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.68
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.77