go back

Idaho rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $4.50 / $4.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $1.99 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2.33 / $4.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.14 / $3.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.31 / $6.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $3.23 / $4.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $3.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.34 / $2.56