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Illinois rates for HCPCS A4385

Ostomy Skin Barrier Solid 4x4 Or Equivalent Extended Wear Without Built-In Convexity Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.99 / $7.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $19.26 / $62.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.34 / $5.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.28 / $8.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $7.83 / $14.28
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
$9.26 / $9.26 / $9.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $8.90 / $10.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.55 / $6.38