# HCPCS A4356: External urethral clamp or compression device

Medicare HCPCS A4356 pays $61.81 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $46.97 in Puerto Rico to $79.51 in Hawaii, a 69% spread.

Web page: https://www.med-reveal.com/rates/A4356-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $61.81 |
| National facility | $61.81 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $79.51 | $79.51 |
| Alaska | $74.39 | $74.39 |
| Alabama | $65.03 | $65.03 |
| Arkansas | $65.03 | $65.03 |
| California | $65.03 | $65.03 |
| Connecticut | $65.03 | $65.03 |
| Delaware | $65.03 | $65.03 |
| District of Columbia | $65.03 | $65.03 |
| Florida | $65.03 | $65.03 |
| Georgia | $65.03 | $65.03 |
| Illinois | $65.03 | $65.03 |
| Indiana | $65.03 | $65.03 |
| Kentucky | $65.03 | $65.03 |
| Louisiana | $65.03 | $65.03 |
| Michigan | $65.03 | $65.03 |
| Minnesota | $65.03 | $65.03 |
| Missouri | $65.03 | $65.03 |
| New Jersey | $65.03 | $65.03 |
| New Mexico | $65.03 | $65.03 |
| North Dakota | $65.03 | $65.03 |
| Ohio | $65.03 | $65.03 |
| Pennsylvania | $65.03 | $65.03 |
| South Dakota | $65.03 | $65.03 |
| Tennessee | $65.03 | $65.03 |
| Utah | $65.03 | $65.03 |
| West Virginia | $65.03 | $65.03 |
| Wisconsin | $65.03 | $65.03 |
| North Carolina | $64.65 | $64.65 |
| Kansas | $64.36 | $64.36 |
| Maryland | $63.71 | $63.71 |
| Nebraska | $62.34 | $62.34 |
| Iowa | $61.76 | $61.76 |
| Montana | $61.76 | $61.76 |
| Arizona | $61.00 | $61.00 |
| Oregon | $60.48 | $60.48 |
| South Carolina | $60.05 | $60.05 |
| Mississippi | $59.30 | $59.30 |
| Nevada | $56.08 | $56.08 |
| Colorado | $55.28 | $55.28 |
| Idaho | $55.28 | $55.28 |
| Maine | $55.28 | $55.28 |
| Massachusetts | $55.28 | $55.28 |
| New Hampshire | $55.28 | $55.28 |
| New York | $55.28 | $55.28 |
| Oklahoma | $55.28 | $55.28 |
| Rhode Island | $55.28 | $55.28 |
| Texas | $55.28 | $55.28 |
| Vermont | $55.28 | $55.28 |
| Virgin Islands | $55.28 | $55.28 |
| Virginia | $55.28 | $55.28 |
| Washington | $55.28 | $55.28 |
| Wyoming | $55.28 | $55.28 |
| Puerto Rico | $46.97 | $46.97 |

## Related codes

- A4310: Insertion tray without drainage bag and without catheter — https://www.med-reveal.com/rates/A4310-hcpcs-fee-schedule
- A4311: Insertion tray with drainage bag, without catheter, two-way latex — https://www.med-reveal.com/rates/A4311-hcpcs-fee-schedule
- A4314: Insertion tray with drainage bag, with indwelling catheter, two-way latex — https://www.med-reveal.com/rates/A4314-hcpcs-fee-schedule
- A4315: Insertion tray with drainage bag, with indwelling catheter, two-way, all silicone — https://www.med-reveal.com/rates/A4315-hcpcs-fee-schedule
- A4326: Male external catheter, specialty type — https://www.med-reveal.com/rates/A4326-hcpcs-fee-schedule
- A4327: Female external urinary collection device, meatal cup — https://www.med-reveal.com/rates/A4327-hcpcs-fee-schedule
- A4328: Female external urinary collection device, pouch — https://www.med-reveal.com/rates/A4328-hcpcs-fee-schedule
- A4331: Extension drainage tubing, any type, any length, with connector/adaptor — https://www.med-reveal.com/rates/A4331-hcpcs-fee-schedule

Commercial negotiated rates for A4356 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules