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Virginia 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
$0.36 / $0.36 / $0.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.40 / $0.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.74 / $1.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.51 / $0.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $1.00 / $1.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.51 / $0.89
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.51 / $0.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.34 / $0.56