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Massachusetts rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $9.42 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $2.23 / $3.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.36 / $2.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $3.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $2.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.65 / $3.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.89 / $3.23