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Illinois rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Facilitymedian $5 · 10th–90th $1–$6030%10%20%10th90th$5Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$1.00 / $1.91 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.47
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.19 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $8.51 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.04 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $3.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $5.62 / $22.39
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
$4.37 / $4.37 / $4.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1.32 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.70 / $2.75