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Pennsylvania rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $2 · 10th–90th $1$30%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1$30%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 / $2.57 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.09
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $3.16 / $5.50
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.34 / $3.39
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $4.47 / $6.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2.34 / $3.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.34 / $3.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.38 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.66 / $3.02