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Illinois rates for HCPCS A4330

Perianal Fecal Collection Pouch With Adhesive Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.43 / $5.43 / $9.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.67 / $8.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $24.42 / $84.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $5.48 / $7.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $6.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $12.58 / $23.45
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $12.58 / $12.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $13.55 / $14.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.82 / $8.03