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Illinois rates for HCPCS A4352

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.40 / $7.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $19.28 / $66.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.72 / $5.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $5.40 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.35 / $9.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $9.14 / $11.47
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
$9.91 / $9.91 / $9.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.64 / $10.36 / $11.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.81 / $6.74