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Iowa rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.11 / $2.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $2.04 / $2.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $3.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $3.64 / $4.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $4.72 / $5.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $4.25 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.67 / $4.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.64 / $4.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.77 / $5.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.65 / $4.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.98 / $2.98