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Utah rates for HCPCS A4363

Ostomy Clamp Any Type Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.76 / $9.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $3.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.25 / $2.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $3.03 / $3.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.17 / $3.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.40 / $1.65