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Ostomy Irrigation Supply, Bag

Illinois rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Rates data updated July 2026.

How much does Ostomy Irrigation Supply, Bag cost?

$12.30

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $19.50 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.30$10.96 to $16.60
FacilityA hospital or hospital-owned outpatient department$19.50$10.96 to $51.29

How much rates vary

Facilitymedian $19 · 10th to 90th $11 to $107Professionalmedian $12 · 10th to 90th $8 to $21
$10$20$50$100$200facility $19professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.22
Typical High
$19.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$51.29
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$21.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$33.88
Typical High
$45.71
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$16.60

Where Illinois sits

The same service costs 2.5 times more in Kansas than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 27th of 51

$12.30

KS $23.44RI $9.55

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.