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New York rates for HCPCS A4360

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.42 / $0.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.40 / $0.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $1.08 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.86 / $1.28
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.37 / $0.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.34 / $0.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.37