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Ostomy Clamp, Replacement Only

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $2.24 for this service. The price depends on where it is billed: about $2.19 from a physician practice, and about $3.39 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 6 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$2.19$1.86 to $2.75
FacilityA hospital or hospital-owned outpatient department$3.39$1.86 to $8.13

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $18Professionalmedian $2 · 10th to 90th $1 to $4
$1$2$5$10$20facility $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
$1.86
Median
$1.86
Typical High
$3.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.86
Typical High
$3.39
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$8.32
Typical High
$28.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.51
Typical High
$2.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$3.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$3.63
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.90
Typical High
$6.46
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.27
Typical High
$4.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
United
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$3.39
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.66
Typical High
$2.88

Where Illinois 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.

Illinois· 20th 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.