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Illinois rates for HCPCS A4434

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.95 / $5.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $14.15 / $45.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.94 / $3.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.51 / $6.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.44 / $8.32
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
$6.83 / $6.83 / $6.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $6.56 / $7.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.60 / $4.50