go back

North Carolina rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.90 / $2.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $1.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $3.17 / $6.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.48 / $2.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $3.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2.90 / $4.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $6.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.57 / $2.39
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $21.08 / $21.08