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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
$10.96 / $10.96 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $56.23 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.75 / $14.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $29.51 / $37.15
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
$27.54 / $27.54 / $27.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.13 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.47 / $16.60