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Illinois rates for HCPCS A4360

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

Facilitymedian $4 · 10th–90th $2–$80%10%20%10th90th$4Professionalmedian $0 · 10th–90th $0–$10%10%20%10th90th$0$0.2$1.0$5.0$20.0$100.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.38 / $1.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $3.98 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.89 / $1.66
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $0.89 / $0.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.55 / $0.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.34 / $0.46