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Ohio 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
$0.44 / $0.44 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.44 / $0.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.37 / $0.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.83 / $1.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.90 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.50 / $0.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.33 / $0.44