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Texas rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $2.15 / $2.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.18 / $2.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $3.66 / $9.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
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 / $1.69 / $2.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $20.21 / $21.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2.48 / $3.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.98 / $3.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2.44 / $3.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.51 / $2.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $3.31