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Illinois rates for HCPCS A4351

Intermittent urinary catheter; straight tip, with or without coating (Teflon, silicone, or silicone elastomer, etc.), each

Facilitymedian $1 · 10th–90th $1–$130%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%20%40%10th90th$1$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 / $1.41 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.58 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $14.79 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.91 / $1.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $3.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.88 / $6.03
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
$3.31 / $3.31 / $3.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.15 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.26 / $2.04