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Illinois rates for HCPCS A4351

Intermittent Urinary Catheter; Straight Tip With Or Without Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.42 / $2.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.55 / $1.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $14.64 / $29.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.90 / $1.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.52 / $2.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.50 / $3.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.04 / $4.94
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
$3.29 / $3.29 / $3.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $3.44 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.27 / $2.17