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Illinois rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.81 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $13.72 / $43.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.76 / $3.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $5.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.01 / $5.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $5.26 / $11.12
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
$6.51 / $6.51 / $6.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $6.26 / $7.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.50 / $5.21