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Illinois rates for HCPCS A4407

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear With Built-In Convexity 4 X 4 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $7.99 / $7.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $6.87 / $12.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $8.57 / $8.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $33.09 / $107.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $9.18 / $9.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $13.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.35 / $14.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $14.25 / $25.53
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
$15.91 / $15.91 / $15.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $15.30 / $18.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $4.72 / $5.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.11 / $10.49