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Illinois rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $5.75 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.91 / $1.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $3.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.72 / $5.50
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
$3.31 / $3.31 / $3.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.07 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.29 / $2.14