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Illinois rates for HCPCS A5071

Ostomy pouch, urinary; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $8.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $18.20 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.31 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $9.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.75 / $16.98
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
$10.96 / $10.96 / $10.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.24 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.17 / $6.61