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Illinois rates for HCPCS A4379

Ostomy Pouch Urinary With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $11.78 / $11.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $11.78 / $20.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.39 / $57.63 / $183.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $15.74 / $15.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $23.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $11.82 / $21.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.98 / $29.54 / $36.97
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
$27.27 / $27.27 / $27.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $26.23 / $31.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $10.47 / $17.97