go back

Illinois rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.14 / $3.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $10.97 / $33.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.86 / $2.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $4.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $5.33 / $8.16
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
$4.95 / $4.95 / $4.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $4.76 / $5.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.90 / $3.37