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Illinois rates for HCPCS A4326

Male external catheter with integral collection chamber, any type, each

Facilitymedian $15 · 10th–90th $8–$790%20%10th90th$15Professionalmedian $9 · 10th–90th $6–$150%10%20%10th90th$9$5.0$10.0$20.0$50.0$100.0$200.0

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
$7.94 / $7.94 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $14.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $32.36 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $15.49
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.85 / $21.38
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $6.03 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.24 / $11.48