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Rhode Island 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
$0.24 / $0.24 / $0.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.25 / $0.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.17 / $1.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.30 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.48