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North Carolina rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $3 · 10th–90th $1–$70%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$3.47 / $4.47 / $4.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.69
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 / $1.70 / $2.14
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.66 / $2.24
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.88 / $4.90
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.29 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.58 / $2.34
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.89