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Illinois rates for HCPCS A4361

Ostomy Faceplate Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $14.41 / $14.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $14.41 / $22.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $17.96 / $17.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.75 / $69.41 / $224.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $19.23 / $19.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $23.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $15.42 / $29.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $34.58 / $44.80
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
$33.35 / $33.35 / $33.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $34.88 / $38.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $12.80 / $22.67