go back

Illinois 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
$1.38 / $2.63 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $3.98 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.89 / $1.66
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.55 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.34 / $0.48