go back

Maryland 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
$2.95 / $2.95 / $2.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.76 / $1.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.34 / $0.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.41