go back

Nebraska rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.33 / $2.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.33 / $2.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.72 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $3.09 / $3.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $3.64 / $4.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $3.31 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.40 / $2.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.64 / $4.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.78 / $7.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.40 / $2.11