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Illinois rates for HCPCS A4394

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

Facilitymedian $4 · 10th–90th $2–$200%20%10th90th$4Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$2.00 / $2.00 / $3.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.72
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $3.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $10.72 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.69 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $4.17
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.98 / $6.03
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
$4.68 / $4.68 / $4.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.41 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.82 / $2.95