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California rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $12.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.35 / $3.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.48 / $3.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $4.79 / $6.92
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $6.17 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.47 / $4.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.89 / $20.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $3.31 / $4.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $3.24
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $4.27 / $6.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $1.26 / $1.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.48 / $3.31