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Oklahoma rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $1.68 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.47 / $2.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $2.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.76 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.40 / $2.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.34 / $2.00