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Illinois rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Facilitymedian $2 · 10th–90th $1–$140%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.45
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $5.62 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $2.63
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.02 / $5.37
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.93 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.20 / $1.95