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New Jersey rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $1 · 10th–90th $1–$20%50%90th$1Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$0.0$0.1$0.5$2.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.66 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.04
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.57 / $4.17
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.82 / $3.16