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Missouri 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
$2.63 / $2.95 / $2.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.69 / $1.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.34 / $3.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.44 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.32 / $0.51