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Michigan rates for HCPCS A4360

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

Facilitymedian $2 · 10th–90th $1–$40%5%10%10th90th$2Professionalmedian $1 · 10th–90th $0–$10%20%40%10th90th$1$0.2$0.5$1.0$2.0$5.0

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 / $2.00 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $2.04 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.56 / $1.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.65 / $0.93
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.31 / $0.49