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Ostomy Clamp, Replacement Only

Utah rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Rates data updated July 2026.

How much does Ostomy Clamp, Replacement Only cost?

$2.19

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $2.19 for this service. The price depends on where it is billed: about $2.24 from a physician practice, and about $1.29 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 7 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$2.24$1.58 to $3.39
FacilityA hospital or hospital-owned outpatient department$1.29$0.89 to $3.09

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $1 to $14
$1$2$5$10facility $1professional $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
$0.89
Median
$0.89
Typical High
$0.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$2.14
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$2.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.24
Typical High
$3.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.09
Typical High
$3.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.19
Typical High
$3.72
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$3.16
Typical High
$3.39
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.16
Typical High
$4.07
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.29
Typical High
$1.41
United
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.41
Typical High
$2.09

Where Utah 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.

Utah· 25th of 51

$2.19

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.