go back

Illinois rates for HCPCS A4384

Ostomy Faceplate Equivalent Silicone Ring Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $7.54 / $7.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $7.54 / $13.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.67 / $36.31 / $117.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $10.07 / $10.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $14.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $15.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $15.82 / $20.13
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
$17.45 / $17.45 / $17.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $16.78 / $20.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $5.18 / $13.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $6.70 / $11.51