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Ostomy Clamp, Replacement Only

Iowa rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Rates data updated July 2026.

How much does Ostomy Clamp, Replacement Only cost?

$2.24

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $2.24 for this service. The price depends on where it is billed: about $2.24 from a physician practice, and about $2.75 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.24$1.78 to $2.88
FacilityA hospital or hospital-owned outpatient department$2.75$2.04 to $3.63

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $7Professionalmedian $2 · 10th to 90th $2 to $5
$1$2$5$10$20$50facility $3professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$2.09
Typical High
$2.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.24
Typical High
$2.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$3.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.72
Typical High
$4.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.79
Typical High
$5.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.63
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.00
Typical High
$5.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.89
Typical High
$4.27
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.72
Typical High
$3.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$5.50
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.51
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.66
Typical High
$3.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.69
Typical High
$2.69

Where Iowa sits

The same service costs 4.2 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 22nd of 51

$2.24

KS $6.17CO $1.48

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.