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Maryland rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $1 · 10th–90th $1–$20%10%20%10th90th$1Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.39 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.29 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.66 / $2.63
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.88