go back

Michigan rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $3 · 10th–90th $2–$150%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$0.0$0.1$0.5$2.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $10.00 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.47
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.19 / $2.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.14 / $6.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.63 / $4.07
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.09
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.19 / $2.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.29 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.55 / $2.34