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Illinois rates for HCPCS A5126

Adhesive Or Non-Adhesive; Disk Or Foam Pad (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.90 / $1.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $3.95 / $13.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.17 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.10 / $1.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.42 / $3.55
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
$2.02 / $2.02 / $2.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $2.12 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.77 / $1.37