go back

Illinois rates for HCPCS A4371

Ostomy skin barrier, powder, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.86 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.27 / $3.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $13.80 / $44.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.83 / $3.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $5.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.06 / $6.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $7.87 / $20.82
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
$6.63 / $6.63 / $6.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $6.38 / $7.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.54 / $4.49