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Illinois rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.63 / $6.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $17.13 / $56.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.84 / $4.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $7.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $13.28 / $17.30
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
$8.40 / $8.40 / $8.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $8.08 / $9.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.23 / $5.38