go back

Texas 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
$0.28 / $0.38 / $0.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.39 / $0.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $3.96 / $4.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.59 / $1.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.59 / $1.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.00 / $1.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.59 / $1.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.32 / $0.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.59 / $0.80