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West Virginia rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.82 / $3.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $4.90 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.51 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.86 / $2.82