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Minnesota rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.11 / $2.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $3.54 / $4.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.21 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $10.35 / $28.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.98 / $4.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $9.83 / $22.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $3.31 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.40 / $3.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.40 / $3.32