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Montana rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $3 · 10th–90th $2–$40%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$60%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.31 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.31 / $3.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.09 / $6.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.09 / $6.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.63 / $3.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.31 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.41 / $1.91