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Illinois rates for HCPCS A5112

Urinary Drainage Bag Leg Or Abdomen Latex With Ithout Tube With Straps Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.17 / $27.17 / $27.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $27.17 / $44.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.24 / $122.18 / $423.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $36.29 / $36.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $29.06 / $48.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $25.34 / $55.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.96 / $67.73 / $89.60
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
$61.76 / $61.76 / $62.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.05 / $60.48 / $72.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.09 / $24.13 / $42.37