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Maine rates for HCPCS A4363

Ostomy Clamp Any Type Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.61 / $1.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.85 / $2.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $2.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.61 / $1.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.73 / $3.23