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Alaska rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $2.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.14 / $4.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $2.90 / $2.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.72 / $5.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $2.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.31 / $3.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $2.67