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Wisconsin rates for HCPCS A4363

Ostomy Clamp Any Type Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.84 / $2.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.48 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.94 / $3.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $10.00 / $14.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $4.76 / $5.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2.74 / $3.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $3.16 / $3.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $3.31 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.65 / $3.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2.76 / $3.63
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $3.16 / $3.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.97 / $8.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $6.18 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $19.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.58 / $2.71