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Washington rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $3 · 10th–90th $2$60%20%10th90th$3Professionalmedian $2 · 10th–90th $1$50%10%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.86 / $3.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.24 / $3.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.09 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $3.89 / $6.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $4.07 / $6.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.51 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.24 / $3.31
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.31 / $3.31
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.75 / $8.32
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $3.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.88 / $3.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.41 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.41 / $2.69
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.88 / $5.13