go back

Illinois rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.43 / $2.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $6.46 / $22.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.91 / $1.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.64 / $3.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.78 / $5.12
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
$3.32 / $3.32 / $3.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.16 / $3.19 / $3.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.28 / $2.25