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Illinois rates for HCPCS B4036

Enteral Feeding Supply Kit; Gravity Fed Per Day (Includes But Not Limited To Feeding/Flushing Syringe Administration Set Tubing Dressings Tape

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $6.08 / $6.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $5.30 / $6.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $22.50 / $68.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.12 / $5.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $7.68 / $200.00
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
$6.66 / $6.66 / $6.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.12 / $5.12 / $5.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $7.54 / $13.46