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Alaska rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $2 · 10th–90th $1–$30%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1–$50%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $3.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $2.69 / $3.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.24 / $9.12
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.88
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.69 / $2.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $0.89 / $3.39
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.45 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $6.76