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Illinois rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Facilitymedian $6 · 10th–90th $3–$350%10%20%10th90th$6Professionalmedian $4 · 10th–90th $2–$60%20%10th90th$4$0.1$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $6.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $6.17
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $16.22 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.57 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $6.76
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.94 / $13.18
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.34 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.02 / $5.01