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Illinois rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Facilitymedian $21 · 10th–90th $11$1200%20%10th90th$21Professionalmedian $13 · 10th–90th $9$220%20%10th90th$13$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.88
Typical High
$21.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$56.23
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$14.79
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$29.51
Typical High
$37.15
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.47
Typical High
$16.98