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Montana rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.31 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.69 / $3.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.09 / $6.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.09 / $6.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.63 / $3.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.31 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.41 / $1.62