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New Hampshire rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.48 / $1.86
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 / $2.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $8.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.40 / $2.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.45 / $3.12