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Oregon 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 / $1.66 / $2.00
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 / $1.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $5.75 / $7.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.51 / $3.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.69 / $3.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.16 / $3.31
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.31 / $3.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.82 / $3.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $3.16 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $4.68 / $12.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.72 / $3.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.41 / $2.69