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Utah 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 / $0.38 / $1.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.62 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.48 / $0.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.28 / $0.43