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Illinois rates for HCPCS A4433

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

Facilitymedian $5 · 10th–90th $2–$270%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 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $13.49 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $5.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.62 / $8.91
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
$6.17 / $6.17 / $6.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.82 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.34 / $3.80