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Illinois rates for HCPCS A4400

Ostomy irrigation set

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $34.65 / $34.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.79 / $34.65 / $61.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.40 / $166.99 / $541.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $46.30 / $46.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $69.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $34.86 / $79.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.56 / $67.98 / $88.83
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
$80.25 / $80.25 / $88.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $83.95 / $92.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.76 / $54.35