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Illinois rates for HCPCS A4420

Ostomy Pouch Closed; For Use On Barrier With Locking Flange (2 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.72 / $2.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.85 / $3.58
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.38 / $2,500.00