go back

Vermont rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $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 / $2.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.75 / $3.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $2.09 / $5.89