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Texas rates for HCPCS A4360

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

Facilitymedian $1 · 10th–90th $0–$20%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.95 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.31
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.47 / $4.47
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.60 / $1.07
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $1.35 / $2.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.00 / $1.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.60 / $1.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.28 / $0.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.31 / $0.43
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.60 / $0.60