go back

Montana 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
$0.20 / $0.40 / $1.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.69 / $0.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.59 / $0.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.33