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Ostomy Clamp, Replacement Only

Kentucky rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Rates data updated July 2026.

How much does Ostomy Clamp, Replacement Only cost?

$1.66

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1.66 for this service. The price depends on where it is billed: about $1.66 from a physician practice, and about $1.45 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$1.66$1.41 to $2.09
FacilityA hospital or hospital-owned outpatient department$1.45$1.45 to $3.80

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $2 · 10th to 90th $1 to $2
$0.02$0.1$0.5$2$10facility $1professional $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
$1.45
Median
$1.45
Typical High
$1.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.82
Typical High
$2.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$3.80
Typical High
$4.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.55
Typical High
$4.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$4.27
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.24
Typical High
$15.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.09
Typical High
$3.98
United
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$1.29
Typical High
$1.55
United
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.41
Typical High
$2.00

Where Kentucky 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.

Kentucky· 47th of 51

$1.66

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.