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Illinois rates for HCPCS A4363

Ostomy Clamp Any Type Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.86 / $3.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $8.65 / $29.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.48 / $2.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.99 / $3.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.84 / $6.48
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
$4.11 / $4.11 / $4.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $4.13 / $4.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.65 / $2.90