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New York rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.29 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.70 / $4.07
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.34 / $2.34
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $4.90 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.79 / $10.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.88 / $5.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.04 / $2.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.75 / $2.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1.29 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.45 / $2.34
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.04 / $2.19
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.04 / $2.04