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Illinois rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $10.72 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.69 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $4.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.98 / $6.03
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
$4.68 / $4.68 / $4.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.41 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.82 / $2.82