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Hawaii rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.07
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $2.92 / $2.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.79 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.22 / $3.07
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.44 / $3.37