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Maine rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $2 · 10th–90th $1–$20%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%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 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.24
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 / $2.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $3.39
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.62 / $2.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $2.75 / $2.88