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Iowa 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
$0.33 / $0.55 / $1.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.75 / $0.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.69 / $1.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.69 / $0.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.42 / $1.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.79 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.83 / $1.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.00 / $1.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.56
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.59 / $0.59