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Texas rates for HCPCS A4360

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.95 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
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
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.47 / $4.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.60 / $1.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.62 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.00 / $1.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.60 / $1.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.31 / $0.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.60 / $0.60