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Washington rates for HCPCS A4360

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

Facilitymedian $1 · 10th–90th $0–$10%5%10%10th90th$1Professionalmedian $1 · 10th–90th $0–$30%10%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
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.69 / $1.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.69 / $1.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.91 / $1.12
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.51 / $0.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.28 / $0.55
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.89