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Illinois rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $7.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $7.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $18.62 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $5.37 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $7.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.71 / $13.49
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
$9.33 / $9.33 / $9.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.75 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.55 / $5.62