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Indiana rates for HCPCS A4363

Ostomy Clamp Any Type Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.84 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.10 / $2.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $3.48 / $4.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.64 / $4.47
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 / $1.99 / $3.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.55 / $2.18