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Ohio rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.10 / $2.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.65 / $4.30
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $3.31 / $4.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.31 / $7.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.99 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.36
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.99 / $2.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $2.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.56 / $2.11