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Massachusetts 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
$0.25 / $0.25 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.30 / $0.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.97 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.56 / $3.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $1.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.34 / $3.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.34 / $0.65