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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
$0.89 / $0.97 / $9.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.49 / $9.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.22 / $3.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.45 / $2.94
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $4.51 / $6.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $7.11 / $12.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.36
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.31 / $3.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.31 / $5.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $20.21 / $21.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $5.76 / $5.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $3.07 / $3.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $3.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $6.24 / $6.24
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.87 / $5.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.40 / $2.98