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Hawaii 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
$1.91 / $2.00 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.85 / $1.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.32 / $1.00