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Ostomy Clamp, Replacement Only

Tennessee rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Rates data updated July 2026.

How much does Ostomy Clamp, Replacement Only cost?

$1.82

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $1.82 for this service. The price depends on where it is billed: about $1.78 from a physician practice, and about $2.57 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.78$1.45 to $2.19
FacilityA hospital or hospital-owned outpatient department$2.57$1.66 to $79.43

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $85Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10$20$50facility $3professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.66
Typical High
$2.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.82
Typical High
$2.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$2.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.51
Typical High
$2.88
United
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.35
Typical High
$1.91

Where Tennessee sits

The same service costs 4.2 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 42nd of 51

$1.82

KS $6.17CO $1.48

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.