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Illinois rates for HCPCS A4378

Ostomy Pouch Drainable For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.13 / $24.13 / $24.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $24.13 / $42.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $116.23 / $376.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $47.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $25.81 / $49.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $40.83 / $60.14
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
$55.85 / $55.85 / $55.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.78 / $53.70 / $64.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $21.43 / $35.72