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Texas rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $3 · 10th–90th $2$90%10%10th90th$3Professionalmedian $2 · 10th–90th $1$20%20%40%10th90th$2$0.0$0.2$2.0$20.0$200.0$2.0K

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
$1.66 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.80 / $9.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.78
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $79.43
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 / $2.00
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $20.89
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.88 / $4.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.82 / $4.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.35 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.51 / $2.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $3.39 / $3.39