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Illinois rates for HCPCS A4349

Male External Catheter With Or Without Adhesive Disposable Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $2.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.58 / $2.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $5.78 / $24.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $3.23 / $6.81
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
$3.65 / $3.65 / $3.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $3.82 / $4.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.40 / $2.41