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Illinois rates for HCPCS A5131

Appliance cleaner, incontinence and ostomy appliances, per 16 oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $20.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $44.67 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $13.18 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $20.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $30.20 / $40.74
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
$24.55 / $26.30 / $26.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $8.71 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.00 / $16.98