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Illinois rates for HCPCS A4349

Male external catheter, with or without adhesive, disposable, each

Facilitymedian $3 · 10th–90th $1–$170%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$5.0$20.0$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 / $2.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $6.17 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.45
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.31 / $6.76
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
$3.63 / $3.63 / $3.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.24 / $2.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.41 / $2.29