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Illinois rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.04 / $3.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $10.76 / $31.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.72 / $2.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $4.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.95 / $5.96
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
$4.71 / $4.71 / $4.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $4.53 / $5.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.81 / $3.19