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Illinois rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $51.29 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.45 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $21.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $33.88 / $45.71
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
$25.12 / $25.12 / $25.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $7.59 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.55 / $15.14