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New Hampshire rates for HCPCS A4360

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

Facilitymedian $1 · 10th–90th $1–$10%20%40%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%50%10th90th$1$0.2$0.5$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.47 / $0.52
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.69 / $0.78