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Illinois rates for HCPCS A4404

Ostomy ring, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.32 / $2.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $5.78 / $20.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.76 / $1.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $2.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $3.07 / $4.26
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
$3.04 / $3.04 / $3.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $3.18 / $3.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.17 / $2.06