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Illinois rates for HCPCS A4423

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

Facilitymedian $3 · 10th–90th $1–$150%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$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 / $2.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $8.13 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $2.82
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.09 / $4.68
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
$3.39 / $3.39 / $3.39
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.00 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.29 / $2.09