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Maryland rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.02 / $2.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.25
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 / $2.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.31 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.65 / $2.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.31