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Wisconsin rates for HCPCS A4360

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

Facilitymedian $1 · 10th–90th $1–$10%50%90th$1Professionalmedian $1 · 10th–90th $0–$20%20%40%10th90th$1$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $2.00 / $2.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $1.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.09 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.93 / $1.32
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.56 / $1.00
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.69 / $0.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.69 / $1.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.34 / $3.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.79 / $1.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.07 / $2.09
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.85 / $3.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.34 / $0.55