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Virginia rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $2 · 10th–90th $1–$50%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%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
$1.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.95
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.39 / $4.27
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.24 / $5.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.34 / $3.63
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.86 / $3.47
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $10.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.29 / $1.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.66 / $2.57