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Utah rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $3 · 10th–90th $1–$30%50%10th$3Professionalmedian $2 · 10th–90th $1–$140%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.24 / $3.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.09 / $3.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $3.47
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.09 / $3.39
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.16 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.41 / $2.34