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Illinois rates for HCPCS A4373

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) With Built-In Convexity Any Size Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $4.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.91 / $8.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.31 / $24.69 / $76.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $6.57 / $6.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $9.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.26 / $10.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $10.99 / $20.23
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
$11.39 / $11.39 / $11.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $10.95 / $13.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $4.37 / $7.74