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Utah rates for HCPCS A4360

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

Professionalmedian $1 · 10th–90th $0–$30%20%10th90th$1$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
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.50 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.49 / $0.49
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.69 / $0.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.71 / $0.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.28 / $0.43