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New Mexico rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.78 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $4.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.88 / $4.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $2.19 / $3.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $3.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.41 / $2.09