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Illinois rates for HCPCS A4452

Tape Waterproof Per 18 Square Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.21 / $0.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.10 / $6.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.61 / $1.90
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
$0.69 / $0.69 / $0.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.67 / $0.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.27 / $0.48