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Illinois rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $3 · 10th–90th $1–$180%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $8.32 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.45 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $3.63
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.90 / $6.46
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.27 / $4.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.29 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.66 / $2.75