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Illinois rates for HCPCS A4361

Ostomy faceplate, each

Facilitymedian $26 · 10th–90th $14$1480%20%10th90th$26Professionalmedian $16 · 10th–90th $11$260%20%10th90th$16$0.2$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
$14.13 / $14.13 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $67.61 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $25.70
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $44.67
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
$33.11 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $20.42