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Illinois rates for HCPCS A5081

Stoma Plug Or Seal Any Type Revised 1/1/2014

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.60 / $4.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $11.68 / $40.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $3.47 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $5.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.21 / $4.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.92 / $6.48
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
$6.02 / $6.02 / $6.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $6.30 / $6.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.31 / $4.09