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Illinois rates for HCPCS A4427

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

Facilitymedian $4 · 10th–90th $2–$220%20%10th90th$4Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$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 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.57 / $2.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $10.72 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.47
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.13 / $9.77
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
$5.13 / $5.13 / $5.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.51 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.95 / $3.16