go back

Virginia rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.41 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.16 / $4.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.24 / $5.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.34 / $3.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.86 / $3.47
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.69 / $10.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.69 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.29 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.62 / $2.45