go back

Missouri rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.62 / $3.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.88 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.66 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.29 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.55 / $2.34