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Illinois rates for HCPCS A4372

Ostomy Skin Barrier Solid 4x4 Or Equivalent Standard Wear With Built-Inconvexity Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $3.29 / $3.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $3.29 / $5.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $16.46 / $51.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.40 / $4.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $5.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $11.77 / $15.35
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
$7.63 / $7.63 / $7.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $7.34 / $8.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.92 / $5.18