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New York rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $2 · 10th–90th $1$50%50%10th90th$2Professionalmedian $2 · 10th–90th $1$40%20%40%10th90th$2$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$1.00 / $2.29 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.70 / $3.98
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.34 / $2.34
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.09 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $3.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $4.79 / $10.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.88 / $5.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.04 / $2.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.75 / $2.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.41 / $2.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.86 / $4.90
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.04 / $2.19
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.04 / $2.04