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Illinois rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.98 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $18.62 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $7.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.94 / $18.20
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
$8.91 / $8.91 / $8.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.69 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.47 / $5.37