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Illinois rates for HCPCS A5062

Ostomy Pouch Drainable; Without Barrier Attached (1 Piece) Each(Updated 01-01-2003) 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.63 / $2.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $6.58 / $25.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.18 / $2.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.87 / $3.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $4.63 / $6.24
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
$3.77 / $3.77 / $4.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $3.94 / $4.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.45 / $2.54