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North Dakota rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.11 / $2.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.11 / $3.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.79 / $4.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $2.11 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.40 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.40 / $3.35