go back

Montana rates for HCPCS A4363

Ostomy Clamp Any Type Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $9.53 / $9.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $3.32 / $3.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.32 / $3.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $3.16 / $3.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.49 / $3.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.40 / $1.61