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Pennsylvania 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
$0.34 / $0.34 / $0.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.42 / $0.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
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
Professional
Modifier
Low / Median / High Price
$0.62 / $0.80 / $0.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.42 / $0.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.00 / $1.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.65 / $0.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.65 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.35 / $0.56