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Illinois rates for HCPCS A4425

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

Facilitymedian $5 · 10th–90th $2–$280%10%20%10th90th$5Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0

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
$2.00 / $2.00 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $13.49 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.72 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $5.50
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.89 / $12.02
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
$6.46 / $6.46 / $6.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.95 / $5.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.51 / $4.07