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Illinois rates for HCPCS A5061

Pouch Drainable; With Barrier Attached (1 Piece) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.77 / $4.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $12.46 / $43.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.71 / $3.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $5.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.97 / $5.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $5.93 / $11.94
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
$6.42 / $6.42 / $6.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $6.72 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.46 / $4.22