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Oregon rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $2.43 / $9.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $5.68 / $6.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.90 / $3.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.14 / $3.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $3.16 / $3.63
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.16 / $3.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $2.83 / $3.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.90 / $3.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $5.50 / $11.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.64 / $3.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.40 / $2.68