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Connecticut rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.04 / $2.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.99
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.06 / $2.06
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.06 / $2.59
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.58 / $1.89