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Wisconsin rates for HCPCS A4363

Ostomy clamp, any type, replacement only, each

Facilitymedian $3 · 10th–90th $3$60%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1$50%10%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.66 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $5.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $10.47 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $4.68 / $6.17
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.75 / $4.57
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $5.75 / $7.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.16 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.66 / $3.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.63 / $6.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.01 / $8.51
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $6.46 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $3.39 / $20.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.51 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.58 / $2.51