go back

New Jersey rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.61 / $2.50
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 / $1.69 / $2.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.91 / $3.09
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.65 / $2.70