go back

Illinois rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $12.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $32.36 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.12 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $13.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.13 / $23.44
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
$15.85 / $15.85 / $15.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $4.79 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.17 / $9.55